Active NPI
Parviz Kazemi
- Psychiatry Physician
- Smithtown, NY
National Provider Identifier
1952462483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 116219
- Practice address
- 278 E Main St
Ste C
Smithtown, NY 11787-2915 - Phone
- (631) 292-2459
- Fax
- (631) 663-3141
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 116219 | NY | Primary |
Addresses
Primary practice location
278 E Main St
Ste C
Smithtown, NY 11787-2915
Mailing address
278 E Middle Country Rd
Suite C
Smithtown, NY 11787-2915
Phone (631) 292-2459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P518611 | Other | OXFORD | |
| P600215169 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aris Aesthetic Gynecology | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Irvington, NJ
- NPI 1588321061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1952462483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 E MIDDLE COUNTRY RD",
"address_2": "SUITE C",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872915",
"telephone_number": "631-292-2459",
"fax_number": "631-663-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 E MAIN ST",
"address_2": "STE C",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872915",
"telephone_number": "631-292-2459",
"fax_number": "631-663-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZEMI",
"first_name": "PARVIZ",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "116219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P518611",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P600215169",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.