Active NPI
Hossein Hedayati, M.D.
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1912915844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 117512
- Practice address
- 271 86TH St
Brooklyn, NY 11209-4909 - Phone
- (718) 491-4623
- Fax
- (718) 491-4681
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 117512 | NY | Primary |
Addresses
Primary practice location
271 86TH St
Brooklyn, NY 11209-4909
Mailing address
9920 4TH Ave
Brooklyn, NY 11209-8333
Phone (718) 833-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00217932 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117512 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1912915844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098333",
"telephone_number": "718-833-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 86TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094909",
"telephone_number": "718-491-4623",
"fax_number": "718-491-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDAYATI",
"first_name": "HOSSEIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "117512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00217932",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.