Individual provider Active NPI

Mehvash Hadi, D.O.

  • Pediatrics Physician
  • Levittown, NY
National Provider Identifier
1912149675
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
266126 Issued in NY
Practice address
100 Jerusalem Ave
Levittown, NY 11756-3718
Phone
(516) 513-0836
Fax
(516) 342-1452
NPI assigned
Mar 27, 2009
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 266126 NY Primary

Addresses

Primary practice location

100 Jerusalem Ave
Levittown, NY 11756-3718

Mailing address

100 Jerusalem Ave
Levittown, NY 11756-3718
Phone (516) 513-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130325000132 NY Practitioner - Pediatric Medicine 3274778121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shariyar Hadi DO PCGroup PAC ID 9638219371, 3 clinicians

Practice addresses (Care Compare)

1893 Eastern Pkwy
Brooklyn, NY 11233-4392
Phone (347) 627-4705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
266126NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shariyar Hadi DO PC CurrentSince Jan 1, 2013 Accepting new patients
Rehan Malik, MD P.C. Past Accepting new patients

Locations

507 Fulton Ave
Hempstead, NY 11550
Phone (516) 565-0020

535 S Broadway
Ste 210
Hicksville, NY 11801

210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800

875 Old Country Rd
Ste 302
Plainview, NY 11803
Phone (516) 622-6330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1912149675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADI",
        "first_name": "MEHVASH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "266126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.