Individual provider Active NPI

Peyman S Zandieh, MD, PC

  • Obstetrics & Gynecology Physician
  • Bethpage, NY
National Provider Identifier
1619153772
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
198779 Issued in NY
Practice address
4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700
Phone
(516) 735-7900
Fax
(516) 735-8425
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 198779 NY Primary

Addresses

Primary practice location

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700

Mailing address

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700
Phone (516) 735-7900

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
I20110119001070 NY Practitioner - Obstetrics/Gynecology 1052590320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4230 Hempstead Tpke
Suite 208
Bethpage, NY 11714-5700
Phone (516) 735-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 8, 2021 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Apr 8, 2021 Accepting new patients
Peyman Zandieh, MD PC Obstetrics & Gynecology CurrentSince Sep 24, 2001 Accepting new patients

Locations

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714
Phone (516) 735-5323

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

120 Mineola Blvd
Ste 100
Mineola, NY 11501
Phone (516) 663-2010

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

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

Interoperability endpoints

  • Direct secure messaging: pzandieh307441@nyumc.direct-ci.com

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 8

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1619153772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "STE 208",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-735-7900",
            "fax_number": "516-735-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "STE 208",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-735-7900",
            "fax_number": "516-735-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDIEH",
        "first_name": "PEYMAN",
        "middle_name": "S",
        "credential": "MD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "198779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.