Roslyn Heights Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

194182 Issued in NY

Legal business name

ROSLYN HEIGHTS MEDICAL PC

Practice address

114 Barnyard LN
Roslyn Heights, NY 11577-2809

Phone

(516) 626-7583

Fax

(516) 626-0924

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farzad Shokri Tabibzadeh, MDNPI 1801819180

Title

President

Phone

(516) 626-7583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farzad Shokri-Tabibzadeh, M.D.

  • Family Medicine Physician
  • Port Washington, NY
  • NPI 1801819180
  Medicare reassignment NPD Authorized official
• Limor Tabib, RDN

  • Registered Dietitian
  • Port Washington, NY
  • NPI 1124775986
  Medicare reassignment NPD

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1629228523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BARNYARD LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772809",
            "telephone_number": "516-626-7583",
            "fax_number": "516-626-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BARNYARD LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772809",
            "telephone_number": "516-626-7583",
            "fax_number": "516-626-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLYN HEIGHTS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "SHOKRI TABIBZADEH",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-626-7583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "194182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Sue Rosenthal, LCMHC
• Michal Frankel Rosenthal, M.S.S.W.
• Roslyn Dental, PLLC
• Roslyn Eye Centre
• Roslyn Family Dental, P.C.
• Roslyn Primary Care, PLLC
• Roslyn Public Schools
• Roslyn Public Schools
• Scott Lawrence Roth, M.D.
• Eleanor Rothschild, LCSW

• Primary Care Clinic/Center in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.