Ida Ahmadizadeh Eden, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

300154 Issued in NY

Practice address

16 E 79TH St Ste 16
New York, NY 10075-0150

Phone

(465) 046-8066

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ida Ahmadizadeh Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: iaa9011@direct.nyp.org

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.

• New York Gracie Square Hospital Inc

  • Psychiatric Hospital
  • New York, NY
  • NPI 1215911946
  Medicare reassignment NPD
• The New York and Presbyterian Hospital

  • Nutritionist
  • New York, NY
  • NPI 1891857025
  Medicare reassignment NPD
• Weill Medical College of Cornell

  • Psychologist
  • New York, NY
  • NPI 1871692210
  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• The New York and Presbyterian Hosp

  • Neurology Physician
  • White Plains, NY
  • NPI 1063683068
  NPD
• The New York and Presbyterian Hospital

  • Community/Retail Pharmacy
  • White Plains, NY
  • NPI 1457057226
  NPD
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1740778075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "465-046-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "465-046-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "IDA",
        "middle_name": "AHMADIZADEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "300154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iahmadizadeh496655@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1 Park Ave Fl 8",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100165802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IDA",
            "last_name": "AHMADIZADEH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eden Health Medical PC
• Caroline Eden
• Daniel Jacob Eden, MD
• Edward Eden, M.D
• Elizabeth A. Eden, MD
• Osareniye Dorcas Edenamigho II
• Allison Edenfield, FNP
• Elizabeth Sharp Edens, MD
• Madison Carol Edens, MD
• Elizabeth Eder-Moreau

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.

Verify at the official NPI Registry.