Mahtab Motieian MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAHTAB MOTIEIAN MD PC

Practice address

114 Ridge Rd
Ardsley, NY 10502-2220

Phone

(904) 955-6577

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Mahtab MotieianNPI 1417479692

Title

MD

Phone

(904) 955-6577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Mahtab Motieian, MD

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1417479692
  Medicare reassignment Care Compare group Authorized official
• Sherry Yasin, MSN FNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Brooklyn, NY
  • NPI 1285901272
  Medicare reassignment Care Compare group
• Brenda Thomas

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1851001556
  Medicare reassignment NPD

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1598542276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RIDGE RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RIDGE RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022220",
            "telephone_number": "904-955-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHTAB MOTIEIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "MOTIEIAN",
        "authorized_official_first_name": "MAHTAB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "904-955-6577"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keysha Lee Lleras, MHC-LP
• Janet G. Lowe
• Gladys Lyles, OTR
• Tara Madison
• Deborah Anne Maguire
• Diane Bers Malkin, LCSW
• Nisha Catherine Thayil Manglani, LCSW
• Cindy Maric, LCSW
• Mark S Briskin DDS PC
• Joan Marshall, DDS

• Internal Medicine Physician in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.