Individual provider Active NPI

Mahshid Toghanian

  • Primary Care Nurse Practitioner
  • Patchogue, NY
National Provider Identifier
1710524533
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG11190017 Issued in NY
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916000274 NY Practitioner - Nurse Practitioner 6608294129 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309746NYMDLicensed Practical Nurse
AG11190017NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC CurrentSince Jan 12, 2022 Accepting new patients
Vinod Gulati, MD PLLC CurrentSince Mar 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.