Kaveh Alizadeh

Primary specialty

SpecialistTaxonomy code 174400000X

License

213702 Issued in NY

Practice address

120 E 87TH St
#P4B
New York, NY 10128-1116

Phone

(929) 800-1887

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1770552465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 87TH ST",
            "address_2": "#P4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281116",
            "telephone_number": "929-800-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 87TH ST",
            "address_2": "#P4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281116",
            "telephone_number": "929-800-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIZADEH",
        "first_name": "KAVEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "213702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02620235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alistair Graham Psychotherapy LCSW PLLC
• Anika Alix, PHD
• Claire O Alix
• Aysha Aliyar
• Ahmadreza Alizadeh Bajgiran, M.D.
• Leila Alizadeh, MD
• Madeline Alia Alizadeh
• Guldana Alizakhova, OTR/L
• Yazan Aljabawi, MBBS
• Badr Aljarallah, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.