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DR. MOJTABA MAHMOODI MD
NPI 1205777620
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 01, 2026
STONY BROOK UNIVERSITY HOSPITAL, STONY BROOK, NY 11794(631) 444-7878 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mojtaba Mahmoodi Md NPPES

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

DR. MOJTABA MAHMOODI MD (NPI 1205777620) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1205777620
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MOJTABA MAHMOODICredential: MD
Location AddressSTONY BROOK UNIVERSITY HOSPITALStony Brook, NY 11794-0001
Mailing AddressStony Brook University HospitalStony Brook, NY 11794-0001 · (631) 444-7878
Phone(631) 444-7878
Sole ProprietorNo
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1205777620 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.
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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Other Providers at the Same Location NPPES 20

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

DR. BENJAMIN RICHARD HODSON M.D.
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
LUCAS JAMES MCARTHUR M.D.
Family Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
JEFF SEAN CHUANG MD
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
MISS SARAH ROSE PESTIEAU M.D.
Internal Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE HSC-T16 020
STONY BROOK, NY 11794
Suffolk County (631) 444-1106
DR. ELAINE FOX M.D.
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. LAWRENCE WILLIAM KELLY JR. MD
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MRS. SUZETTE CATHERINE SMOOKLER M.S., R.D., CDN
Dietitian, Registered
STONY BROOK UNIVERSITY HOSPITAL, NICOLLS ROAD, LEVEL 1 RM 747
STONY BROOK, NY 11794
Suffolk County (631) 444-7757
MRS. JANINE ELIZABETH ROMEO RPA-C
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, 1 EDMUND PELLIGRINO DRIVE
STONY BROOK, NY 11794
Suffolk County (631) 444-1444

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 Mojtaba Mahmoodi's NPI number?

The NPI number for Mojtaba Mahmoodi is 1205777620. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Mojtaba Mahmoodi located?

Mojtaba Mahmoodi practices at Stony Brook University Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-7878.

What is Mojtaba Mahmoodi'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 Mojtaba Mahmoodi was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.