DR. SHAHROKH MOMTAHEN MD
NPI 1104959659
Clinical Medical Laboratory in Farmingdale, NY

Active since March 13, 2007
60 EXECUTIVE BLVD, FARMINGDALE, NY 11735(631) 755-5500 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shahrokh Momtahen Md NPPES

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

DR. SHAHROKH MOMTAHEN MD (NPI 1104959659) is an individual clinical medical laboratory provider in Farmingdale, New York, licensed in New York (231479-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104959659
Entity TypeIndividualMale
Primary Taxonomy291U00000X
Provider Legal NameDR. SHAHROKH MOMTAHENCredential: MD
Location Address60 EXECUTIVE BLVDFarmingdale, NY 11735-4710
Mailing Address102 Grayson StStaten Island, NY 10306-4425 · (718) 987-2474
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1104959659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in NY · 231479-1
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
60 EXECUTIVE BLVD, Farmingdale, NY 11735

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Adult Medicine)
60 EXECUTIVE BLVD
FARMINGDALE, NY 11735
Clinical Medical Laboratory
60 EXECUTIVE BLVD
FARMINGDALE, NY 11735

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 Shahrokh Momtahen's NPI number?

The NPI number for Shahrokh Momtahen is 1104959659. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Shahrokh Momtahen located?

Shahrokh Momtahen practices at 60 Executive Blvd, Farmingdale, NY 11735. The listed phone number is (631) 755-5500.

What is Shahrokh Momtahen's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Shahrokh Momtahen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.