Omid Dardashti, M.D.

Key facts

NPI

1639295686

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

25MA08190200 (NJ)

Practice address

297 Lafayette Ave
Hawthorne, NJ 07506-1919

Phone

(201) 439-2625

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Valley Physician Services PC Internal Medicine Physician · Paramus, NJ · NPI 1467815928
  Medicare reassignment Care Compare group NPD NJ
• Ridgewood Cardiology Associates Cardiovascular Disease Physician · Midland Park, NJ · NPI 1053481788
  Medicare reassignment NPD CARDIOVASCULAR DISEASE · NJ

Hospital & facility affiliations 2

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

• The Valley Hospital Inc. General Acute Care Hospital · Paramus, NJ · NPI 1013912633
  Care Compare affiliation Hospital
• Valley Home Care, Inc Home Health Agency · Paramus, NJ · NPI 1174588925
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Physician Services PC (593 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency · Paramus, NJ · CCN 317008
• Valley Hospital Hospital · Paramus, NJ · CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100 (apm)

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omid.dardashti.3@5622.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639295686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 LEMOINE AVE",
            "address_2": "APT. 2E",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245649",
            "telephone_number": "201-638-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061919",
            "telephone_number": "201-439-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08190200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Hawthorne, NJ · Cardiovascular Disease Physician in New Jersey