FARZAD MODARESS MOUSSAVI (NPI# 1366749137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366749137 |
| Entity Type | Individual |
| Full Name | FARZAD MODARESS MOUSSAVI |
| Credential | MD |
| Practice Address |
40 E Main St Bay Shore NY 11706 |
| Mailing Address |
40 E Main St Bay Shore NY 11706-8301 |
| Practice Telephone | 6313766075 |
| Practice Fax Number | 6313766091 |
| Mailing Telephone | 6313766075 |
| Mailing Fax Number | 6313766091 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD041637 | DC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD041637 | DC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
40 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962889451 | Heartline Cardiology PC | Internal Medicine | 40 E Main St, Bay Shore, NY 11706-8301 | 2015-05-04 |
| 1063778355 | Robert Chow | Internal Medicine | 40 E Main St, Bay Shore, NY 11706-8301 | 2012-04-11 |
| 1275827115 | Shivannah Savatri Chiatar | Physician Assistant | 40 E Main St, Bay Shore, NY 11706-8301 | 2011-06-08 |
| 1760511968 | Faithful Steps Podiatry PC | Podiatrist | 40 E Main St, Bay Shore, NY 11706-8301 | 2007-03-05 |
| 1720148968 | Esther Hansen | Podiatrist | 40 E Main St, Bay Shore, NY 11706-8301 | 2006-12-11 |
| 1548287360 | South Shore Infectious Diseases, PC | Specialist | 40 E Main St, Bay Shore, NY 11706-8301 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902092 | Frank Michael Esemplare | Internal Medicine | 39 Tern Ct, Bay Shore, NY 11706-7528 | 2007-07-02 |
| 1558436972 | Richard Francis Michalowicz | Internal Medicine | 21 Shore Lane, Bay Shore, NY 11706 | 2006-11-21 |
| 1093810301 | Sevinc Itir Kadayifci | Internal Medicine | 301 East Main St, Bay Shore, NY 11706 | 2006-09-13 |
| 1235134602 | Mark R Siegelheim | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2005-06-14 |
| 1073516191 | Lawrence D. Campbell | Internal Medicine | 32 E Main St, Bay Shore, NY 11706-8301 | 2005-05-23 |
| 1235559105 | Erica Beauplan | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-04-18 |
| 1053734863 | Christina Maria Antoine | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-01-29 |
| 1487098661 | Sadia Arshad | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2013-04-18 |
| 1235405432 | Yuriy Dekhkanov | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-04-02 |
| 1235401217 | Abdul Sattar | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-02-06 |
| Find all providers in BAY SHORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.