Individual provider Active NPI

Ariel Amirzadeh

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1962868638
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340078-1 Issued in NY
Practice address
2162 E 23Rd St
Brooklyn, NY 11229-3646
Phone
(347) 832-9294
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340078-1 NY Primary

Addresses

Primary practice location

2162 E 23Rd St
Brooklyn, NY 11229-3646

Mailing address

2162 E 23Rd St
Brooklyn, NY 11229-3646

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210430000914 NY Practitioner - Nurse Practitioner 8426467515 Reassigns benefits to 2 organizations
Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rd Medical Professional Services PCGroup PAC ID 8628463296, 25 clinicians

Practice addresses (Care Compare)

140 Beach 114TH St
Rockaway Park, NY 11694-2405
Phone (914) 295-9323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340078-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SG Medical Professional PC CurrentSince May 4, 2025 Accepting new patients
Rd Medical Professional Services PC CurrentSince May 11, 2025 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

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1962868638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293646",
            "telephone_number": "347-832-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRZADEH",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340078-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.