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MAHTAB SOLEIMANZADEH RD, CDN
NPI 1063925964
Dietitian, Registered in Great Neck, NY

Active since November 14, 2017Accepts Medicare Assignment
15 WHITMAN RD, GREAT NECK, NY 11023(516) 851-0401 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mahtab Soleimanzadeh Rd, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHTAB SOLEIMANZADEH RD, CDN (NPI 1063925964) is an individual dietitian, registered in Great Neck, New York, licensed in New York (009067-1) and active in the NPI registry since November 2017. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1063925964
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMAHTAB SOLEIMANZADEHCredential: RD, CDN
Location Address15 WHITMAN RDGreat Neck, NY 11023-1827
Mailing Address15 Whitman RdGreat Neck, NY 11023-1827 · (516) 851-0401
Phone(516) 851-0401
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 14, 2017
✔ NPI 1063925964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 009067-1
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
15 WHITMAN RD, Great Neck, NY 11023
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mahtab Soleimanzadeh Rd, Cdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123373602
PECOS Enrollment IDI20180625002887

Medicare Billing Reassignment

Medicare enrollment records show Mahtab Soleimanzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ms Nutritional Wellness PLLC
2.5 mi
Dietitian, Registered
1129 NORTHERN BLVD STE 404
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1003446709 (516) 851-0401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahtab Soleimanzadeh's NPI number?

The NPI number for Mahtab Soleimanzadeh is 1063925964. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Mahtab Soleimanzadeh located?

Mahtab Soleimanzadeh practices at 15 Whitman Rd, Great Neck, NY 11023. The listed phone number is (516) 851-0401.

What is Mahtab Soleimanzadeh's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mahtab Soleimanzadeh enrolled in Medicare?

Yes. Mahtab Soleimanzadeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mahtab Soleimanzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahtab Soleimanzadeh reassigns Medicare benefits to Ms Nutritional Wellness PLLC (Manhasset, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahtab Soleimanzadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mahtab Soleimanzadeh was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.