Organization Active NPI

Nezhat Surgery for Gynecology/Oncology, PLLC

  • Gynecologic Oncology Physician
  • Valley Stream, NY
National Provider Identifier
1841675287
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
NEZHAT SURGERY FOR GYNECOLOGY/ONCOLOGY, PLLC
Practice address
70 E Sunrise Hwy Ste 515W
Valley Stream, NY 11581-1233
Phone
(516) 663-1365
Fax
(516) 710-7685
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Farr R. Nezhat, MD, MD
Title
Medical Director
Phone
(516) 663-1365

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

70 E Sunrise Hwy Ste 515W
Valley Stream, NY 11581-1233

Mailing address

70 E Sunrise Hwy Ste 515W
Valley Stream, NY 11581-1233
Phone (516) 663-1365

Other practice location 1

233 Broadway Rm 2750
New York, NY 10279-2704
Phone (646) 962-7120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120000032 NY Part B Supplier - Clinic/Group Practice 5395045546 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

170 William St
Ste 5A
New York, NY 10038
Phone (212) 312-5255

70 E Sunrise Hwy
Ste 515W
Valley Stream, NY 11581
Phone (516) 663-1365

Practitioners & affiliated clinicians

Practitioners 2

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": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1841675287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 515W",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-663-1365",
            "fax_number": "516-710-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 515W",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-663-1365",
            "fax_number": "516-710-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Broadway Rm 2750",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "102792704",
            "country_code": "US",
            "telephone_number": "646-962-7120",
            "fax_number": "866-996-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEZHAT SURGERY FOR GYNECOLOGY/ONCOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "NEZHAT, MD",
        "authorized_official_first_name": "FARR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-663-1365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.