Active NPI
Mahshid Toghanian
- Primary Care Nurse Practitioner
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AG11190017
- Practice address
- 103 W Main St
Patchogue, NY 11772-3003 - Phone
- (631) 758-3600
- Fax
- (631) 758-3615
- NPI assigned
- Dec 1, 2019
- Last updated
- Dec 1, 2019
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG11190017 | NY | Primary |
Addresses
Primary practice location
103 W Main St
Patchogue, NY 11772-3003
Mailing address
4 Driftwood LN
East Setauket, NY 11733-2628
Phone (917) 287-5360
Other practice location 1
4 Driftwood Ln
East Setauket, NY 11733-2628
Phone (917) 287-5360
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtoghanian@LIcommunityhospital.org | ||
| Direct Messaging Address | mtoghanian@LIcommunityhospital.org | ||
| Direct Messaging Address | mtoghanian@LIcommunityhospital.org | ||
| Direct Messaging Address | mtoghanian@LIcommunityhospital.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309746 | NY | MD | Licensed Practical Nurse |
| AG11190017 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Services, LLC | Current | Accepting new patients | |
| Vinod Gulati, MD PLLC | Current | Accepting new patients |
Locations
333 Broadway
Amityville, NY 11701
Phone (516) 789-2020
1733 Eastchester Rd
Bronx, NY 10461
Phone (718) 822-1968
240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410
Interoperability endpoints
- mtoghanian@licommunityhospital.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1730628611
-
dba Visiting Docs
- Primary Care Clinic/Center
- Spring Valley, NY
- NPI 1083241392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1710524533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DRIFTWOOD LN",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117332628",
"telephone_number": "917-287-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MAIN ST",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723003",
"telephone_number": "631-758-3600",
"fax_number": "631-758-3615"
}
],
"practiceLocations": [
{
"address_1": "4 Driftwood Ln",
"address_purpose": "LOCATION",
"city": "East Setauket",
"state": "NY",
"postal_code": "117332628",
"country_code": "US",
"telephone_number": "917-287-5360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOGHANIAN",
"first_name": "MAHSHID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-01",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "AG11190017",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtoghanian@LIcommunityhospital.org",
"affiliation": "N",
"address_1": "103 West Main Street",
"city": "Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117723003",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtoghanian@LIcommunityhospital.org",
"affiliation": "N",
"address_1": "103 West Main Street",
"city": "Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117723003",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtoghanian@LIcommunityhospital.org",
"affiliation": "N",
"address_1": "103 West Main Street",
"city": "Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117723003",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtoghanian@LIcommunityhospital.org",
"affiliation": "N",
"address_1": "103 West Main Street",
"city": "Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117723003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.