Individual provider Active NPI

Mehryar M Sadeghi, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1528081148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
223575 Issued in NY
Practice address
59 8TH Ave
Brooklyn, NY 11217-3945
Phone
(718) 623-2020
Fax
(718) 623-2022
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 223575 NY Primary

Addresses

Primary practice location

59 8TH Ave
Brooklyn, NY 11217-3945

Mailing address

59 8TH Ave
Brooklyn, NY 11217-3945
Phone (718) 623-2020

Other identifiers 1

IdentifierTypeStateIssuer
02242937MedicaidNY

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
I20040510000856 NY Practitioner - Ophthalmology 6709875263 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Prospect Park W
Brooklyn, NY 11215-1706
Phone (718) 623-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223575NYMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Medical Eye Associate, LLC Ophthalmology CurrentSince Oct 23, 1998 Accepting new patients
Advanced Dermatology PC Past Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology Past Accepting new patients

Locations

1 Brookdale Plz
Ste 104
Brooklyn, NY 11212
Phone (718) 240-5827

2460 Flatbush Ave
Ste 4
Brooklyn, NY 11234
Phone (718) 252-1200

300 Jericho Quadrangle
Ste 320
Jericho, NY 11753

1100 Shames Dr
Unit 100
Westbury, NY 11590
Phone (718) 863-8695

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528081148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173945",
            "telephone_number": "718-623-2020",
            "fax_number": "718-623-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173945",
            "telephone_number": "718-623-2020",
            "fax_number": "718-623-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "MEHRYAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "223575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02242937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.