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DR. SHALIZ POURKAVIANI MD
NPI 1467895474
Pediatrics - Neonatal-Perinatal Medicine in Brick, NJ

Active since April 09, 2013PECOS Enrolled
425 JACK MARTIN BLVD, BRICK, NJ 08724(407) 491-8708 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Mar 15, 2025, Jan 12, 2022 and 4 more (7 updates tracked since 2019).

About Dr. Shaliz Pourkaviani Md NPPES

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

DR. SHALIZ POURKAVIANI MD (NPI 1467895474) is an individual neonatal-perinatal medicine provider in Brick, New Jersey, licensed in New Jersey (25MA10989300) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467895474
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SHALIZ POURKAVIANICredential: MD
Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732
Mailing Address10259 Trout RdOrlando, FL 32836-6544 · (407) 491-8708
Phone(407) 491-8708
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJanuary 29, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1467895474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in NJ · 25MA10989300✔ Licensed in CA · A155765✔ Licensed in NY · 285686
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License ME147211 (FL)
425 JACK MARTIN BLVD, Brick, NJ 08724
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaliz Pourkaviani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183951114
PECOS Enrollment IDI20250923000172, I20251113002683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. DANIELLE JEANETTE HUTCHINS MS
Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-3380
DR. DOUGLAS ANDREW MILLER M.D.
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 836-4109
DR. SHAWN KEATING
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
ZAKA ULLAH NAVID AHMED
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
DR. IBRAHIM ALNASER MD
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
YOHANA REVELO-UMANA
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
VEYOLA ROMANY REZKALLA
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
QKHANMD SERVICES LLC
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (848) 242-6303

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 Shaliz Pourkaviani's NPI number?

The NPI number for Shaliz Pourkaviani is 1467895474. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Shaliz Pourkaviani located?

Shaliz Pourkaviani practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (407) 491-8708.

What is Shaliz Pourkaviani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shaliz Pourkaviani enrolled in Medicare?

Yes. Shaliz Pourkaviani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaliz Pourkaviani was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.