Katayun Kayomarz Mama

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

142230 Issued in NY

Practice address

16 Guion Place
Sound Shore Medical Center
New Rochelle, NY 10801

Phone

(914) 632-5000

Fax

(914) 632-9662

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medical Association Sound Shore PLLC

  • Emergency Medicine Physician
  • New Rochelle, NY
  • NPI 1649200015
  Medicare reassignment NPD
• Emergency Medical of Sound Shore PC

  • Emergency Medicine Physician
  • New Rochelle, NY
  • NPI 1861447435
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1821298829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ALFRED LANE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10804",
            "telephone_number": "914-235-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PLACE",
            "address_2": "SOUND SHORE MEDICAL CENTER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-632-5000",
            "fax_number": "914-632-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMA",
        "first_name": "KATAYUN",
        "middle_name": "KAYOMARZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "142230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01385313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yogangi Malhotra, MD
• Mina Fatima Malik
• Cheryl R Malina, MD
• Romelle J Maloney, MD
• Tara Maloney, LMHC
• Lisa Golda Mandelker, D.O.
• Madeline Maria Manessis-Kaloudis, RPH
• Anthony Mango
• Jonathan Alfred Manley, LMSW
• Aviva Mann, EI

• Emergency Medicine Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.