Individual provider Active NPI

Mojgan Neman-Kuighadush, M.D.

  • Pediatrics Physician
  • Kew Gardens, NY
National Provider Identifier
1780769786
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
205047 Issued in NY
Practice address
8361 Abingdon Rd
Kew Gardens, NY 11415-1713
Phone
(718) 441-8666
Fax
(718) 441-8667
NPI assigned
Oct 26, 2006
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 205047 NY
Pediatrics Physician 208000000X 205047 NY Primary

Addresses

Primary practice location

8361 Abingdon Rd
Kew Gardens, NY 11415-1713

Mailing address

8361 Abingdon Rd
Kew Gardens, NY 11415-1713

Other identifiers 1

IdentifierTypeStateIssuer
01749499MedicaidNY

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
I20160115002168 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4587967005

National Provider Directory

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

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1780769786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 ABINGDON RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 ABINGDON RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151713",
            "telephone_number": "718-441-8666",
            "fax_number": "718-441-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMAN-KUIGHADUSH",
        "first_name": "MOJGAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "205047",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "205047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.