Noreen Kamal-Mostafavi MD PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2741821 Issued in NY

Legal business name

NOREEN KAMAL-MOSTAFAVI MD PLLC

Doing business as

Noreen Kamal-Mostafavi MD PLLC

Practice address

3860 Victory Blvd
Staten Island, NY 10314-6720

Phone

(718) 370-2222

Fax

(718) 351-0311

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Ericka Guardado

Title

Office Manager

Phone

(718) 370-2222

Specialties & licenses 1

Addresses

Other names 1

• Noreen Kamal-Mostafavi MD PLLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Inrava Khasnabish, O.D.

  • Optometrist
  • Bethpage, NY
  • NPI 1952897571
  NPD
• Riley Zane Laster, OD

  • Optometrist
  • Staten Island, NY
  • NPI 1548842693
  NPD
• David Mostafavi, M.D.

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1144453671
  NPD
• Ramin Mostafavi, M.D.

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1619974433
  NPD (past)
• Roman Polishchuk, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1467715839
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1912485483",
    "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": "718-370-2222",
            "fax_number": "718-351-0311"
        },
        {
            "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": "718-370-2222",
            "fax_number": "718-351-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOREEN KAMAL-MOSTAFAVI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "GUARDADO",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-370-2222"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2741821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noreen Kamal-Mostafavi MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Noreen Kamal-Mostafavi MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nome Chiropractic, P.C.
• Francis V Nonnenmacher, DMD
• Eileen Noonan, M.S.
• Jennifer Beth Norberg, MACCC-SLP
• Linda A Nordman Ring, MSED
• Shahla Noreen, MD
• Leticia Norem, LPN
• Theresa Ann Norris, MSSW, LCSW-R
• Ziesha Norris
• North Health Pharmacy Inc. (New Park Pharmacy)

• Obstetrics & Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.