Organization Active NPI

Sunshine Acute Care M Feizi Lighvan Nurse Practitioner PLLC

  • Acute Care Nurse Practitioner
  • Middle Village, NY
National Provider Identifier
1871295626
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
SUNSHINE ACUTE CARE M FEIZI LIGHVAN NURSE PRACTITIONER PLLC
Practice address
7305 Metropolitan Ave
Middle Village, NY 11379-2649
Phone
(929) 919-1900
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Mr. Mohammadreza Feizi Lighvan, NPNPI 1699392894
Title
NP/Owner
Phone
(929) 919-1900

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
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

7305 Metropolitan Ave
Middle Village, NY 11379-2649

Mailing address

2121 E 72ND St
Brooklyn, NY 11234-6228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510001116 NY Part B Supplier - Clinic/Group Practice 7911363361 Receives reassigned benefits from 1 practitioner
Practice locations: Middle Village, NY

National Provider Directory

National Provider Directory

Locations

2749 Linden Blvd
Brooklyn, NY 11208
Phone (201) 936-9345

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1871295626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792649",
            "telephone_number": "929-919-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ACUTE CARE M FEIZI LIGHVAN NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "FEIZI LIGHVAN",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "929-919-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.