Behnam Y Moghadasian, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054455 Issued in NY

Practice address

10525 64TH Ave Apt 3F
Forest Hills, NY 11375-1644

Phone

(646) 283-4553

NPI assigned

Jun 25, 2008

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1801058466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE APT 3F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751644",
            "telephone_number": "646-283-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE APT 3F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751644",
            "telephone_number": "646-283-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADASIAN",
        "first_name": "BEHNAM",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MNB Medical PC
• Mobilecare Physical Therapy, PC
• Modern Dental of Queens P.C.
• Dylicia Modeste- George
• Lisa Maria Modesto, O.D.
• Angela Madison Mohamed, LMSW
• Mahmoud Diab Mohamed, DPT, PHD
• Rehab M Mohamed
• Hailei Mohammed
• Rosemarie Mohammed, R.PH

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.