Ebrahim Sadighim MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

222625 Issued in NY

Legal business name

EBRAHIM SADIGHIM MD PC

Practice address

138 Middle Neck Rd
Great Neck, NY 11021-1246

Phone

(516) 466-1910

Fax

(516) 621-2172

NPI assigned

Aug 7, 2008

Organization subpart

No

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

Authorized official

Name

Ebrahim Sadighim, MDNPI 1215021530

Title

Owner

Phone

(516) 466-1910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ebrahim Sadighim, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1215021530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1669628897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211246",
            "telephone_number": "516-466-1910",
            "fax_number": "516-621-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211246",
            "telephone_number": "516-466-1910",
            "fax_number": "516-621-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIM SADIGHIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "SADIGHIM",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-466-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "222625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnieszka M. Dynda, PSY.D.
• Ewa D Dynda, M.A., CCC/SLP
• E & I Associates, Inc.
• Alison Ebert
• Marvin Ebert, DO
• Martin Peter Edelstein, MD
• Edward G & Matthew P Kaufman DDS PC
• Edward L. Mills, M.D., P.C.
• Jessica Lauren Effren, PA-C
• Brianna Egan

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, 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 Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.