Active NPI
Shahrzad Mirafzali, D.D.S.
- Dentist
- New Rochelle, NY
National Provider Identifier
1669834743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044887
- Practice address
- 175 Memorial Hwy
Suite 3-5
New Rochelle, NY 10801-5635 - Phone
- (914) 235-2550
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044887 | NY | Primary |
Addresses
Primary practice location
175 Memorial Hwy
Suite 3-5
New Rochelle, NY 10801-5635
Mailing address
175 Memorial Hwy
Suite 3-5
New Rochelle, NY 10801-5635
Phone (914) 235-2550
Other names 1
- Dr. Shahrzad Maghsoudloo Mirafzali
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044887 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1669834743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 3-5",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015635",
"telephone_number": "914-235-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 3-5",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015635",
"telephone_number": "914-235-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRAFZALI",
"first_name": "SHAHRZAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAHRZAD",
"last_name": "MIRAFZALI",
"middle_name": "MAGHSOUDLOO",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.