Foroozan Mokhtarian, MPH, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

MOKHF1 Issued in NY

Practice address

Suny Incubator 4603 Middle Country Road
Suite 12-3
Calverton, NY 11933

Phone

(917) 518-1319

Fax

(718) 635-7088

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• New York Immunology Laboratory, LLC

  • Clinical Medical Laboratory
  • Calverton, NY
  • NPI 1093971871
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1487822375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUNY STONYBROOK 4603 MIDDLE COUNTRY ROAD",
            "address_2": "SUITE 12-3",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "11933",
            "telephone_number": "917-518-1319",
            "fax_number": "718-635-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY INCUBATOR 4603 MIDDLE COUNTRY ROAD",
            "address_2": "SUITE 12-3",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "11933",
            "telephone_number": "917-518-1319",
            "fax_number": "718-635-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHTARIAN",
        "first_name": "FOROOZAN",
        "name_prefix": "Dr.",
        "credential": "MPH, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "MOKHF1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Jean Lawler, RN
• Brielle Macarthur, LPN
• Eboni T Marshall
• Dianna Meilunas, RN
• Grace Minelli, M.A., CCC-SLP
• Catherine Molter, N.P.
• Anne Morosky
• New York Immunology Laboratory, LLC
• Karen Nichols
• North Suffolk Medical Care, PC

• Clinical Laboratory Director (Non-physician) in Calverton, NY
• Providers in Calverton, NY by specialty
• Clinical Laboratory Director (Non-physician) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.