Individual provider Active NPI

Nafiz Imtiaz Mosharraf, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1730716234
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
326588 Issued in NY
Practice address
281 1St Ave FL 7
New York, NY 10003-2925
Phone
(212) 420-2400
NPI assigned
Mar 25, 2020
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 326588 NY Primary

Addresses

Primary practice location

281 1St Ave FL 7
New York, NY 10003-2925

Mailing address

281 1St Ave FL 7
New York, NY 10003-2925
Phone (212) 420-2390

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716003167 NY Practitioner - Psychiatry 1658816475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Realization Center IncGroup PAC ID 0749598050, 11 clinicians

Practice addresses (Care Compare)

1425 Madison Ave
New York, NY 10029-6514
Phone (212) 824-8150

175 Remsen St
Suite 2
Brooklyn, NY 11201-4333
Phone (718) 342-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2024 Accepting new patients
Realization Center, Inc. CurrentSince Jan 14, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2024 Accepting new patients
Realization Center PastSince Jan 14, 2026 Accepting new patients

Locations

175 Remsen St
#2
Brooklyn, NY 11201
Phone (718) 342-6700

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

19 Union Sq W
Fl 7
New York, NY 10003
Phone (212) 627-9600

281 1st Ave
Fl 7
New York, NY 10003
Phone (212) 420-2400

Networks

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

Organizations & group practices 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1730716234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 1ST AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032925",
            "telephone_number": "212-420-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 1ST AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032925",
            "telephone_number": "212-420-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHARRAF",
        "first_name": "NAFIZ",
        "middle_name": "IMTIAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "326588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.