Hamid Javidi, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

136191 Issued in NY

Practice address

11 Whites Lane
Aquebogue, NY 11931

Phone

(631) 722-5506

NPI assigned

Jul 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679096317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITES LANE",
            "city": "AQUEBOGUE",
            "state": "NY",
            "postal_code": "11931",
            "telephone_number": "631-722-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHITES LANE",
            "city": "AQUEBOGUE",
            "state": "NY",
            "postal_code": "11931",
            "telephone_number": "631-722-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDI",
        "first_name": "HAMID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "136191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Carrera, RN
• Chrystal Lee Curran
• Lisa A Dandrea, SLP
• Etk Rpa, PC
• Nadine M. Grothmann, R.N., A.N.P.
• Jacqueline E King-Presant, MA ED.
• Ellen C Knieriemen
• Lois M. Leonard, SLP
• Li Family Health NP PLLC
• Maria C. Maranga, D.D.S.

• Obstetrics & Gynecology Physician in Aquebogue, NY
• Providers in Aquebogue, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.