Organization Active NPI

Golnaz Moazami MD

  • Neuro-ophthalmology Physician
  • New York, NY
National Provider Identifier
1720678568
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
Legal business name
GOLNAZ MOAZAMI MD
Practice address
635 W 165TH St Ste 304
New York, NY 10032-3724
Phone
(212) 305-3272
Fax
(646) 317-5751
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Dr. Golnaz Moazami, MDNPI 1427075407
Title
Owner
Phone
(212) 305-3276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0109X Primary

Addresses

Primary practice location

635 W 165TH St Ste 304
New York, NY 10032-3724

Mailing address

700 Columbus Ave FRNT 4
PWFS Box 20964
New York, NY 10025-6662
Phone (917) 200-8900

Other practice location 1

880 3rd Ave Fl Aveune2
New York, NY 10022-4730
Phone (212) 305-3276

National Provider Directory

National Provider Directory

Locations

700 Columbus Ave
Unit 20964
New York, NY 10025

635 W 165th St
Ste 304
New York, NY 10032
Phone (212) 305-3272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1720678568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLUMBUS AVE FRNT 4",
            "address_2": "PWFS BOX 20964",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256662",
            "telephone_number": "917-200-8900",
            "fax_number": "917-338-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-3272",
            "fax_number": "646-317-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 3rd Ave Fl Aveune2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224730",
            "country_code": "US",
            "telephone_number": "212-305-3276",
            "fax_number": "646-317-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLNAZ MOAZAMI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MOAZAMI",
        "authorized_official_first_name": "GOLNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-305-3276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.