| Dr Natan Pedram Davoudzadeh, MD | |
|
1185 Broadway, Hewlett, NY 11557-2323 | |
| (631) 751-3000 | |
| (631) 751-0506 |
| Full Name | Dr Natan Pedram Davoudzadeh |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 1185 Broadway, Hewlett, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487911517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 289608 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John's Episcopal Hospital At South Shore | Far rockaway, NY | Hospital |
| Mount Sinai South Nassau | Oceanside, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Hematology Oncology Associates Pc | 1456243641 | 411 |
| St John's Medical Services Pc | 1850314865 | 86 |
| Nassau Health Care Corporation | 2961315221 | 169 |
| Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
| Entity Name | North Shore Hematology Oncology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Entity Name | Nassau Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
| Entity Name | St John's Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Natan Pedram Davoudzadeh, MD 1500 Route 112 Bldg 4, Suite101, Port Jefferson Station, NY 11776 Ph: (631) 574-8354 | Dr Natan Pedram Davoudzadeh, MD 1185 Broadway, Hewlett, NY 11557-2323 Ph: (631) 751-3000 |
Dr. Sheldon Bruce Pike, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1185 Broadway, Hewlett, NY 11557 Phone: 516-239-8877 Fax: 516-239-1104 | |
Dr. Aaron Brett Grotas, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 1800 Rockaway Ave, Ste 212, Hewlett, NY 11557 Phone: 516-593-1838 Fax: 516-593-3071 |