Individual provider Active NPI

Mohammadreza Feizi Lighvan, NP

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1699392894
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431689 Issued in NY
Practice address
Strong Memorial Hospital 601 Elmwood Avenue
Rochester, NY 14642-0001
Phone
(585) 275-5645
NPI assigned
Jul 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X F431689 NY
Acute Care Nurse Practitioner 363LA2100X F431689 NY Primary
Nurse Practitioner 363L00000X F431689 NY

Addresses

Primary practice location

Strong Memorial Hospital 601 Elmwood Avenue
Rochester, NY 14642-0001

Mailing address

601 Elmwood Avenue PO Box 670
Rochester, NY 14642-0001
Phone (585) 273-1376

Other names 1

  • Mohammad Feizi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Albany Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201217003008 NY Practitioner - Nurse Practitioner 3678985587 Reassigns benefits to 14 organizations
I20221119000149 TN Practitioner - Nurse Practitioner 3678985587
I20221122003267 KY Practitioner - Nurse Practitioner 3678985587

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

2316 Bruner Ave
Bronx, NY 10469-6323
Phone (845) 354-1212

2749 Linden Blvd
Brooklyn, NY 11208-5110
Phone (718) 277-5100

3525 Baychester Ave
Bronx, NY 10466-5001
Phone (845) 354-1212

7305 Metropolitan Ave
FL 1
Middle Village, NY 11379-2649
Phone (929) 919-1900

8008 45TH Ave
Elmhurst, NY 11373-3545
Phone (718) 639-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F431689NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Bronx Medical Practice P.C. Multi-Specialty CurrentSince Aug 20, 2023 Accepting new patients
University of Rochester CurrentSince Jan 4, 2021 Accepting new patients
Boro Park Operating Co LLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Fresh Meadows Physician Practice PLLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Cardiac Surgery of the University of Rochester Multi-Specialty Current Accepting new patients
University of Rochester CurrentSince Jan 4, 2021 Accepting new patients
Essen Medical Associates, PC Multi-Specialty Current Accepting new patients
Interventional Medicine PC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
University of Rochester Multi-Specialty Current Accepting new patients
Acute Care Trauma of the University of Rochester Multi-Specialty Current Accepting new patients
Py Medical Services of Ny PLLC Multi-Specialty CurrentSince Aug 16, 2023 Accepting new patients
Essen Medical Associates,PC Multi-Specialty CurrentSince Aug 20, 2023 Accepting new patients
Essen Medical Associates, PC Multi-Specialty CurrentSince Aug 20, 2023 Accepting new patients
Medical Services of Northeastern Queens PLLC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
House Call Medical Services of New York, PLLC Multi-Specialty CurrentSince Sep 3, 2023 Accepting new patients
Peyman Younesi MD PLLC Multi-Specialty CurrentSince Aug 16, 2023 Accepting new patients
Park Avenue Pediatrics, P.C. Multi-Specialty CurrentSince Dec 22, 2021 Accepting new patients

Locations (25 of 31)

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

616 Castle Hill Ave
Ste A
Bronx, NY 10473

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2316 Bruner Ave
Bronx, NY 10469
Phone (718) 882-6400

3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

2749 Linden Blvd
Brooklyn, NY 11208
Phone (201) 936-9345

1122 Coney Island Ave
Ste 101
Brooklyn, NY 11230
Phone (917) 536-8500

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1699392894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE PO BOX 670",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIZI LIGHVAN",
        "first_name": "MOHAMMADREZA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "F431689",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431689",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F431689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Albany",
            "affiliation": "N",
            "endpointDescription": "601 Elmwood Ave, Rochester,",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Strong Memorial Hospital 601 Elmwood Avenue",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "FEIZI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.