NPIMap

Organization Active NPI

Parviz Soomekh MD PC

  • Anesthesiology Physician
  • Carle Place, NY
National Provider Identifier
1790142677
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
258881 Issued in NY
Legal business name
PARVIZ SOOMEKH MD PC
Practice address
255 Glen Cove Rd
Carle Place, NY 11514-1207
Phone
(516) 277-8400
Fax
(516) 280-8204
NPI assigned
Jan 22, 2016
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Parviz Soomekh, MDNPI 1528233079
Title
President
Phone
(516) 280-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 258881 NY Primary

Addresses

Primary practice location

255 Glen Cove Rd
Carle Place, NY 11514-1207

Mailing address

15 Piper Dr
Albertson, NY 11507-1504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170316000247 NY Part B Supplier - Clinic/Group Practice 9739464660 Receives reassigned benefits from 10 practitioners
Practice locations: Roslyn, NY

National Provider Directory

National Provider Directory

Locations

255 Glen Cove Rd
Carle Place, NY 11514
Phone (516) 877-2400

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1790142677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PIPER DR",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071504",
            "fax_number": "516-280-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GLEN COVE RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141207",
            "telephone_number": "516-277-8400",
            "fax_number": "516-280-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVIZ SOOMEKH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SOOMEKH",
        "authorized_official_first_name": "PARVIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-280-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "258881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.