Ariel Amirzadeh
Individual provider Active NPI Family Nurse Practitioner · Brooklyn, NY
NPI 1962868638 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1962868638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F340078-1 (NY)
- Practice address
- 2162 E 23Rd St
Brooklyn, NY 11229-3646 - Phone
- (347) 832-9294
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rd Medical Professional Services PC
Practice addresses (Care Compare)
140 Beach 114TH St
Rockaway Park, NY 11694-2405
Phone (914) 295-9323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210430000914 | NY | Practitioner - Nurse Practitioner | 8426467515 |
Reassigns benefits to 2 organizations Practice locations: Great Neck, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340078-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rd Medical Professional Services PC | Current |
Accepting new patients | |
| SG Medical Professional PC | Current |
Accepting new patients |
Locations
801 W 190th St
New York, NY 10040
Phone (212) 543-5000
140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600
260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F340078-1 | NY | Yes |
Addresses
Primary practice location
2162 E 23Rd St
Brooklyn, NY 11229-3646
Mailing address
2162 E 23Rd St
Brooklyn, NY 11229-3646
Other providers in Brooklyn, NY
- Brandon Amirian
- Nicole Amirian
- Rabiel Amirian
- Elfiya Amirova
- Qamar Amiruddin
- David Amirzadeh
- Farahnaz Amirzadeh
- Rebecca Y Amirzadeh
- Cecile Amisial
- Paul Amissah
All providers in Brooklyn, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.