Mohinur Firdavsi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

029384 Issued in NY

Practice address

983 E 12TH St BSMT
Brooklyn, NY 11230-3667

Phone

(929) 699-2807

Fax

(917) 591-3013

NPI assigned

Oct 13, 2022

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

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

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.

• Eslam Mohamed Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1316711211
  NPD Authorized official
• Lagrangeville Medical PC

  • Internal Medicine Physician
  • Franklin Square, NY
  • NPI 1861153322
  Medicare reassignment
• Middle Village Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1497771687
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1932825643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 BENSON AVE APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145031",
            "telephone_number": "347-988-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 E 12TH ST BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303667",
            "telephone_number": "929-699-2807",
            "fax_number": "917-591-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 Benson Ave Apt 5A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145031",
            "country_code": "US",
            "telephone_number": "347-988-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3019 Brighton 1st St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112358008",
            "country_code": "US",
            "telephone_number": "929-699-2807",
            "fax_number": "917-591-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRDAVSI",
        "first_name": "MOHINUR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "029384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Fiorini, PSYD
• Katarzyna Fiorita, LMHC, CASAC
• Danielle Fiorito
• Georgia Fiotodimitrakis, OTR/L
• Jude Fiotte
• Vadim Firdman, DDS
• Firefliesny
• Paolo Firenze, M.S.ED.
• Glenn Firestone, PHD
• Noah S Fireworker, D.D.S.

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.