Dr Shaliz Pourkaviani, MD in Brick, NJ

Dr Shaliz Pourkaviani, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Brick, New Jersey. Her current practice location is 425 Jack Martin Blvd, Brick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (407) 491-8708.

Dr Shaliz Pourkaviani is licensed to practice in New York (license number 285686) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467895474.

Contact Information

	Dr Shaliz Pourkaviani, MD
	425 Jack Martin Blvd, Brick, NJ 08724-7732
	(407) 491-8708
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shaliz Pourkaviani
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	425 Jack Martin Blvd, Brick, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467895474
Provider Enumeration Date: 04/09/2013
Last Update Date: 03/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4183951114
Enrollment ID: I20221003001802

Medical Identifiers

Medical identifiers for Dr Shaliz Pourkaviani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467895474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME147211 (Florida)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	25MA10989300 (New Jersey)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	A155765 (California)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	285686 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shaliz Pourkaviani allows following entities to bill medicare on her behalf.

Entity Name	St Peters Hospital Of The City Of Albany
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301

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. Dr Shaliz Pourkaviani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shaliz Pourkaviani, MD 10259 Trout Rd, Orlando, FL 32836-6544 Ph: (407) 491-8708	Dr Shaliz Pourkaviani, MD 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (407) 491-8708

Reviews and Comments

Pediatrics Doctors in Brick, NJ

Dr. Maria Collado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2211 Route 88, Suite 2a, Brick, NJ 08724 Phone: 732-899-0008 Fax: 732-899-0447
Dr. Ayman Mohammed Omar Mansour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Mayfair Ct, Brick, NJ 08723 Phone: 609-495-4826
Dr. Sharon Melissa Seltzer Weinberger, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1610 Rte 88, Brick, NJ 08724 Phone: 732-458-9666
Mrs. Elizabeth Flores Nepomuceno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-458-1177 Fax: 732-458-5942
Maria Angela Tobias Umali-pamintuan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1623 Route 88 W, Brick, NJ 08724 Phone: 732-458-9666 Fax: 732-325-1832
Dr. Glenn Joseph Gormley, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North Dr, Brick, NJ 08724 Phone: 732-892-8947
Mrs. Stephanie E Chin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1623 Route 88 W, Brick, NJ 08724 Phone: 732-458-9666 Fax: 908-325-1832

Dr Shaliz Pourkaviani, MD - Medicare Pediatrics in Brick, NJ