MAHTAB MOTIEIAN (NPI# 1417479692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479692 |
| Entity Type | Individual |
| Full Name | MAHTAB MOTIEIAN |
| Credential | MD |
| Practice Address |
150 Eileen Way Unit 1 Syosset NY 11791-5313 |
| Mailing Address |
16 Guion Pl New Rochelle NY 10801-5502 |
| Practice Telephone | 5168555255 |
| Mailing Telephone | 9143655000 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 307329 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
150 EILEEN WAY UNIT 1 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679917157 | Sunquest Pharmaceuticals Inc | Pharmacy | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2013-04-26 |
| 1033731336 | Felix Temitope Elijah | Family Medicine | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2020-05-11 |
| 1649734245 | Ella Ashurova | Nurse Practitioner | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2019-01-28 |
| 1396259941 | Geocia Ann Cijo | Nurse Practitioner | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2017-11-17 |
| 1841701711 | Elizabeth Nosier-turenne | Registered Nurse | 150 Eileen Way Unit 1, Syosset, NY 11791 | 2017-10-19 |
| 1063867687 | Daniel Anertey Abbey Sr. | Family Medicine | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2016-05-02 |
| 1972957413 | Anu Sahore Salwan | Family Medicine | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2016-04-21 |
| 1205201332 | Lotoya Kadeshia Lewin-harris Bey | Registered Nurse | 150 Eileen Way Unit 1, Syosset, NY 11791 | 2015-12-01 |
| 1538573134 | Hakimah Beebe | Registered Nurse | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2014-06-12 |
| 1821408527 | Jerry Thomas | Physical Medicine & Rehabilitation | 150 Eileen Way Unit 1, Syosset, NY 11791-5313 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| 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 |
|---|---|---|---|---|
| 1780194001 | Ranjit S. Kadam M.d. P.C. | Internal Medicine | 15 Albergo Ln, Syosset, NY 11791-3847 | 2017-10-02 |
| 1528578747 | Sejal Kadam Md P C | Internal Medicine | 50 Stirrup Ln, Syosset, NY 11791-4429 | 2017-10-02 |
| 1184023350 | Harriet Stathakos | Internal Medicine | 331 Southwood Cir, Syosset, NY 11791-5715 | 2014-08-14 |
| 1336411214 | Gurpreet Singh Walia | Internal Medicine | 1968 Knollwood Rd, Syosset, NY 11791-9607 | 2012-02-07 |
| 1841443538 | Long Island Medical Services P.C. | Internal Medicine | 235 Saddle Ln, Syosset, NY 11791-4428 | 2008-10-28 |
| 1164547840 | Paul E Wiseman | Internal Medicine | 288 Southwood Cir, Syosset, NY 11791-5713 | 2007-03-20 |
| 1104995075 | Venugopal Reddy Palla | Internal Medicine | 8 Greenfield Road, Syosset, NY 11791 | 2006-11-07 |
| 1205936044 | Sheldon M Petersel | Internal Medicine | 5 Wood Ct, Syosset, NY 11791-6518 | 2006-09-22 |
| 1811091127 | Shenyi Peng | Internal Medicine | 16 Lenore Street, Syosset, NY 11791 | 2006-09-08 |
| 1720046576 | Randolph P Dilorenzo | Internal Medicine | 99 Cold Spring Rd, Syosset, NY 11791-3109 | 2006-05-02 |
| Find all providers in SYOSSET | ||||
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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.