Long Island Advanced Medical Care PLLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

251844 Issued in NY

Legal business name

LONG ISLAND ADVANCED MEDICAL CARE PLLC.

Practice address

287 Northern Blvd Ste 108
Great Neck, NY 11021-4717

Phone

(516) 359-5870

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Farzad Farzan-Kashani, M.D.NPI 1447412481

Title

President

Phone

(516) 359-5870

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farzad Farzan-Kashani, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1447412481
  Medicare reassignment NPD Authorized official
• Miriam Elyassian, PAC

  • Physician Assistant
  • West Islip, NY
  • NPI 1780191650
  NPD (past)
• Ebrahim Sadighim, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1215021530
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1871939249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220146",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110220146",
            "telephone_number": "516-359-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD STE 108",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214717",
            "telephone_number": "516-359-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ADVANCED MEDICAL CARE PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "FARZAN-KASHANI",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-359-5870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannett Llave
• LM Liegner MD PC
• Sheng-Fu Larry Lo, MD, MHS, FAANS
• Mitchell R Locke, MD
• Taylor Loizzo, FNP-BC
• Long Island Applied Behavior Analysts PC
• Long Island Audiology, P.C.
• Long Island Behavioral Health Solutions, P.C.
• Long Island Jewish Health System
• Long Island Jewish Medical Center at Home Pharmacy Inc

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.