Individual provider Active NPI

Mehran Alagheband, M.D.

  • Dermatology Physician
  • Glen Cove, NY
National Provider Identifier
1467546465
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
203171 Issued in NY
Practice address
25 Glen Cove Ave
Glen Cove, NY 11542-2805
Phone
(516) 656-5555
Fax
(516) 656-3555
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 203171 NY Primary

Addresses

Primary practice location

25 Glen Cove Ave
Glen Cove, NY 11542-2805

Mailing address

25 Glen Cove Ave
Glen Cove, NY 11542-2805
Phone (516) 656-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000419 NY Practitioner - Dermatology 9234232034 Practice locations: Glen Cove, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Glen Cove Ave
Glen Cove, NY 11542-2805
Phone (516) 656-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions1251
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care of New York, PC Past Accepting new patients
Avalon Allergy and Asthma PastSince Dec 15, 2019 Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients
Our Lady of Mercy Ambulatory Care Center, Inc. Past Accepting new patients
Faculty Dermatology, PC Past Accepting new patients
Advanced Medical Health Services PC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1467546465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422805",
            "telephone_number": "516-656-5555",
            "fax_number": "516-656-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422805",
            "telephone_number": "516-656-5555",
            "fax_number": "516-656-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAGHEBAND",
        "first_name": "MEHRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "203171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.