Individual provider Active NPI

Golali Nejati, M.D

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1922231604
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254652 Issued in NY
Practice address
1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621
Phone
(718) 940-9010
Fax
(718) 940-9012
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 254652 NY Primary

Addresses

Primary practice location

1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621

Mailing address

1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621
Phone (718) 940-9010

Other identifiers 2

IdentifierTypeStateIssuer
1922231604OtherNPI
03158454MedicaidNY

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
I20090919000047 NY Practitioner - Internal Medicine 4082760863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1270 Flatbush Ave
FL 1
Brooklyn, NY 11226-7621
Phone (718) 940-9010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254652NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Medical of Ny PC Multi-Specialty Past Accepting new patients
Pro Form Physical Therapy PC Multi-Specialty PastSince Mar 14, 2012 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: golali.nejati@cyrus.ehi.direct-ci.com

Organizations & group practices 3

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1922231604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 FLATBUSH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267621",
            "telephone_number": "718-940-9010",
            "fax_number": "718-940-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 FLATBUSH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267621",
            "telephone_number": "718-940-9010",
            "fax_number": "718-940-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJATI",
        "first_name": "GOLALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-01-30",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922231604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.