Forough B Mokhtari, MD - Pediatrics in Southampton, NY

Forough B Mokhtari, MD is a Pediatrics physician based in Southampton, New York. Forough B Mokhtari is licensed to practice in New York (license number 221651) and her current practice location is 5 Squiretown Road, South Hampton Pediatric, Southampton, New York. She can be reached at her office (for appointments etc.) via phone at (631) 728-5300.

NPI number for Forough B Mokhtari is 1134138357 and her current mailing address is 45 Research Way, Stony Brook Children's Services, Ufpc, East Setauket, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134138357.

Contact Information

Forough B Mokhtari, MD
5 Squiretown Road, South Hampton Pediatric,
Southampton, NY 11946
(631) 728-5300
(631) 728-5360

Map and Direction




Physician's Profile

Full NameForough B Mokhtari
GenderFemale
SpecialityPediatrics
Location5 Squiretown Road, Southampton, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134138357
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 11/02/2015

Medical Identifiers

Medical identifiers for Forough B Mokhtari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134138357NPI-NPPES
02290628MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 221651 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Forough B Mokhtari is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Forough B Mokhtari, MD
45 Research Way, Stony Brook Children's Services, Ufpc,
East Setauket, NY 11733

Ph: (631) 675-2125
Forough B Mokhtari, MD
5 Squiretown Road, South Hampton Pediatric,
Southampton, NY 11946

Ph: (631) 728-5300

Reviews and Comments


Pediatrics Doctors in Southampton, NY

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Dr. Louis M Goldblum, DO
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Medicare: Medicare Enrolled
Practice Location: 325 Meeting House Ln, Southampton, NY 11968
Phone: 631-283-7733    

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