Organization Active NPI

Bijan Setareh MD

  • Dermatology Physician
  • Rockville Centre, NY
National Provider Identifier
1821119579
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BIJAN SETAREH MD
Practice address
2000 N Village Ave
Suite312
Rockville Centre, NY 11570-1078
Phone
(516) 678-8777
Fax
(718) 787-1899
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Bijan Setareh-Shenas, MDNPI 1013917665
Title
President
Phone
(516) 678-8777

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2000 N Village Ave
Suite312
Rockville Centre, NY 11570-1078

Mailing address

1550 E 7TH St
Brooklyn, NY 11230-6406
Phone (718) 787-2215

Other identifiers 1

IdentifierTypeStateIssuer
02109566MedicaidNY

Other names 1

  • ACCURATE DERMATOLOGY Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1041897Accurate Dermatology2000 North Village Ave, #301, Rockville Centre, NY 11570ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

2000 N Village Ave
Ste 312
Rockville Ctr, NY 11570
Phone (516) 321-5864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1821119579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306406",
            "telephone_number": "718-787-2215",
            "fax_number": "718-787-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE312",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-678-8777",
            "fax_number": "718-787-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN SETAREH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SETAREH-SHENAS",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-678-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02109566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCURATE DERMATOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.