Doreet Nagatti

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

124 Hicks LN
Great Neck, NY 11024-2125

Phone

(508) 963-1141

NPI assigned

Jul 30, 2019

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bruce E. Katz, MD, PC

  dba Juva Skin & Laser Center

  • Specialist
  • Brooklyn, NY
  • NPI 1710127675
  NPD
• Bruce E. Katz, MD, PC

  dba Juva Skin and Laser Center

  • Dermatology Physician
  • Woodside, NY
  • NPI 1962682666
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1508410275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HICKS LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110242125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HICKS LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110242125",
            "telephone_number": "508-963-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016022009",
            "country_code": "US",
            "telephone_number": "508-963-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016022009",
            "country_code": "US",
            "telephone_number": "508-963-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGATTI",
        "first_name": "DOREET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NA Ma Ophthalmology PLLC
• Azadeh Nabatian, D.D.S.
• Ryan J Nadherny, C.A.S., MS. ED.
• Howard Ian Nadjari, MD
• Nira Suri Nafisi, PH.D.
• Ashalatha Kesavankutty Nair, MD
• Lakshmi Nair, NP
• Naira Ambarian Medical PC
• Tannaz Najibi-Dror, BS PHARMACY
• Kimia Nakhon, FNP

• Physician Assistant in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.