Individual provider Active NPI

Nassim Khataie, DDS

  • General Practice Dentistry
  • Hastings on Hudson, NY
National Provider Identifier
1699117200
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057431-01 Issued in NY
Practice address
615 Broadway Ste 1
Hastings on Hudson, NY 10706-1039
Phone
(914) 693-0199
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 057431-01 NY Primary

Addresses

Primary practice location

615 Broadway Ste 1
Hastings on Hudson, NY 10706-1039

Mailing address

615 Broadway Ste 1
Hastings on Hudson, NY 10706-1039
Phone (914) 693-0199

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

LicenseStateTypeSpecialty
057431-01NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shay Markovitch Dentistry, PLLC General Practice CurrentSince May 7, 2024 Accepting new patients
John Toccafondi Jr., DDS, PLLC General Practice PastSince May 7, 2024 Accepting new patients

Locations

615 Broadway
Ste 1
Hastings on Hudson, NY 10706
Phone (914) 478-3272

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.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1699117200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BROADWAY STE 1",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061039",
            "telephone_number": "914-693-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BROADWAY STE 1",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061039",
            "telephone_number": "914-693-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATAIE",
        "first_name": "NASSIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057431-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.