Individual provider Active NPI

Mahyar Kashani, MD

  • Urology Physician
  • Rockville Centre, NY
National Provider Identifier
1568953925
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
323964-01 Issued in NY
Practice address
2 Lincoln Ave Ste 102
Rockville Centre, NY 11570-5775
Phone
(516) 877-0977
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 323964-01 NY Primary

Addresses

Primary practice location

2 Lincoln Ave Ste 102
Rockville Centre, NY 11570-5775

Mailing address

2 Lincoln Ave Ste 102
Rockville Centre, NY 11570-5775
Phone (516) 390-2850

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
I20240912000793 NY Practitioner - Urology 8820538218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 6709174493, 17 clinicians

Practice addresses (Care Compare)

2 Lincoln Ave
Rockville Centre, NY 11570-5775
Phone (516) 763-7820

393 Old Country Rd
Carle Place, NY 11514-2131
Phone (516) 877-0977

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323964-01NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Aug 1, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Urology CurrentSince Aug 1, 2024 Accepting new patients

Locations

393 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

8002 Kew Gardens Rd
Ste 323
Kew Gardens, NY 11415
Phone (718) 268-6300

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

2 Lincoln Ave
Rockville Ctr, NY 11570
Phone (516) 390-2850

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mkashani17608@prd.direct.tbh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1568953925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN AVE STE 102",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705775",
            "telephone_number": "516-390-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN AVE STE 102",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705775",
            "telephone_number": "516-877-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANI",
        "first_name": "MAHYAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "323964-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.