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MATIN MOGHADDAS DO
NPI 1164277513
Student in an Organized Health Care Education/Training Program in Binghamton, NY

Active since April 19, 2024
169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905(607) 798-5111 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Matin Moghaddas Do NPPES

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

MATIN MOGHADDAS DO (NPI 1164277513) is an individual student in an organized health care education/training program in Binghamton, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1164277513
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATIN MOGHADDASCredential: DO
Location Address169 RIVERSIDE DRIVEBinghamton, NY 13905-4246
Mailing Address169 Riverside DrBinghamton, NY 13905-4246
Phone(607) 798-5111
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1164277513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
169 RIVERSIDE DRIVE, Binghamton, NY 13905
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Other Providers at the Same Location NPPES 13

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

ROBERT LUNN DO
Anesthesiology
169 RIVERSIDE DRIVE, OUR LADY OF LOURDES HOSPITAL
BINGHAMTON, NY 13905
Broome County (607) 798-5111
KELLY M MCLAUGHLIN R.P.A.C.
Physician Assistant
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (607) 798-5111
DEBORAH D CLARHAUT CRNA
Nurse Anesthetist, Certified Registered
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (160) 772-2726
ADRIENNE RAE ROPECKA
Nurse Anesthetist, Certified Registered
169 RIVERSIDE DRIVE, LOURDES HOSPITAL
BINGHAMTON, NY 13905
Broome County (607) 722-7264
DR. MATHEW ROGIN ITTEERA MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DRIVE, GME OFFICES
BINGHAMTON, NY 13905
Broome County (607) 722-2769
RAYFORD A PETROSKI MD
Urology
169 RIVERSIDE DRIVE, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7667
DR. KEVIN SCOTT LANDAU MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MARIA C. BERRY FNP
Nurse Practitioner (Family)
169 RIVERSIDE DRIVE, LOURDES HOSPTIAL
BINGHAMTON, NY 13905
Broome County (607) 798-5231

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 Matin Moghaddas's NPI number?

The NPI number for Matin Moghaddas is 1164277513. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Matin Moghaddas located?

Matin Moghaddas practices at 169 Riverside Drive, Binghamton, NY 13905. The listed phone number is (607) 798-5111.

What is Matin Moghaddas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matin Moghaddas was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.