Individual provider Active NPI

Negin Hajizadeh, MD, MPH

  • Pulmonary Disease Physician
  • Greenport, NY
National Provider Identifier
1760479190
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
262641 Issued in NY
Practice address
330 Bridge St
Greenport, NY 11944-1213
Phone
(401) 935-1027
Fax
(212) 562-1759
NPI assigned
Sep 30, 2005
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216903 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 045761 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 223022 MA
Pulmonary Disease Physician 207RP1001X 045761 CT
Pulmonary Disease Physician 207RP1001X 223022 MA
Pulmonary Disease Physician 207RP1001X 262641 NY Primary

Addresses

Primary practice location

330 Bridge St
Greenport, NY 11944-1213

Mailing address

330 Bridge St
Greenport, NY 11944-1213
Phone (401) 935-1027

Other identifiers 1

IdentifierTypeStateIssuer
2106451MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050722000860 MA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1557398336 Reassigns benefits to 1 organization
I20131209000419 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1557398336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045761CTMDPulmonary Disease Physician
223022MAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

550 1st Ave
Fl 6
New York, NY 10016
Phone (646) 754-2559

410 Lakeville Rd
Ste 107
North New Hyde Pk, NY 11042
Phone (516) 465-5400

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: hajizadeh.negin.cdh@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1760479190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BRIDGE ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441213",
            "telephone_number": "401-935-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BRIDGE ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441213",
            "telephone_number": "401-935-1027",
            "fax_number": "212-562-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIZADEH",
        "first_name": "NEGIN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216903",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "045761",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "223022",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "045761",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "223022",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "262641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106451",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenport, NY

Sources for this page

Verify at the official NPI Registry.