Maryam Mottaghian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012741 Issued in NY

Practice address

First Ave at 16TH Street N
Beth Israel Medical Center
Ny, NY 10003

Phone

(212) 420-2840

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bimc Faculty Practice

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1538351572

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1851541411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOMERS LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251118",
            "telephone_number": "631-434-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST AVE AT 16TH STREET N",
            "address_2": "BETH ISRAEL MEDICAL CENTER",
            "city": "NY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTAGHIAN",
        "first_name": "MARYAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibi Farah Mohamed, AGPCNP, OCN
• Reginald G Moncrieff, DDS
• Angelina Monell, LMHC
• Dana J Morschauser, O.D.
• Katherine A Mortati, MD
• Mount Sinai Beth Isreal
• Mt Sinai Medical Center
• Stephanie Mullen, LMSW
• Mary Mulvey
• Karen Alison Nichole Myrie, MD

• Physician Assistant in Ny, NY
• Providers in Ny, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.