Active NPI
R Mostafavi MD Ophthamologist PC
- Ophthalmology Physician
- Staten Island, NY
National Provider Identifier
1851540488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- R MOSTAFAVI MD OPHTHAMOLOGIST PC
- Practice address
- 3860 Victory Blvd
Staten Island, NY 10314-6720 - Phone
- (718) 697-0131
- Fax
- (718) 697-0231
- NPI assigned
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ramin Mostafavi, MD
- Title
- Director
- Phone
- (718) 809-6679
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3860 Victory Blvd
Staten Island, NY 10314-6720
Mailing address
3860 Victory Blvd
Staten Island, NY 10314-6720
Phone (718) 697-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
445 Clawson St
Staten Island, NY 10306
Phone (718) 351-0525
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Staten Island, NY
- NPI 1619974433
-
- Ophthalmology Physician
- New York, NY
- NPI 1770664294
-
- Optometrist
- Staten Island, NY
- NPI 1548842693
-
- Ophthalmology Physician
- Staten Island, NY
- NPI 1144453671
-
- Optometrist
- Brooklyn, NY
- NPI 1467715839
-
- Obstetrics & Gynecology Physician
- Staten Island, NY
- NPI 1073748018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1851540488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146720",
"telephone_number": "718-697-0131",
"fax_number": "718-697-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146720",
"telephone_number": "718-697-0131",
"fax_number": "718-697-0231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R MOSTAFAVI MD OPHTHAMOLOGIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-18",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "MOSTAFAVI",
"authorized_official_first_name": "RAMIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-809-6679",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.