Organization Active NPI

Nabatian Medical Practice PLLC

  • Cardiovascular Disease Physician
  • Rego Park, NY
National Provider Identifier
1487201836
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NABATIAN MEDICAL PRACTICE PLLC
Practice address
8918 63Rd Dr
Rego Park, NY 11374-3858
Phone
(718) 433-9356
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Sepideh NabatianNPI 1912941014
Title
Owner
Phone
(516) 423-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

8918 63Rd Dr
Rego Park, NY 11374-3858

Mailing address

4 Split Rock Dr
Great Neck, NY 11024-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191021002747 NY Part B Supplier - Clinic/Group Practice 3678805892 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1487201836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPLIT ROCK DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743858",
            "telephone_number": "718-433-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABATIAN MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "NABATIAN",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-423-6651"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.