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LILLY MOHTADI MD
NPI 1639813884
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 25, 2022
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lilly Mohtadi Md NPPES

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

LILLY MOHTADI MD (NPI 1639813884) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639813884
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILLY MOHTADICredential: MD
Location AddressMAIMONIDES MEDICAL CENTER, 4802 10TH AVEBrooklyn, NY 11219-2916
Mailing AddressMaimonides Medical Center, 4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-6000
Phone(718) 283-6000
Sole ProprietorYes
Enumeration DateApril 25, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1639813884 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.

MAIMONIDES MEDICAL CENTER, Brooklyn, NY 11219
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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.

MS. DANIELLE J PERKINS PA-C
Physician Assistant (Surgical)
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-7976
EDUARD LOGVINSKIY D.O.
Anesthesiology
MAIMONIDES MEDICAL CENTER, 4802 TENTH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-7176
FERRIN DOSS D.O.
Emergency Medicine
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6029
VICTOR GAZIVODA
Student in an Organized Health Care Education/Training Program
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. SPENCER THIEL MD
Student in an Organized Health Care Education/Training Program
MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ORI WAKSMAN MD
Student in an Organized Health Care Education/Training Program
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE
BROOKLYN, NY 11219
Kings County (240) 444-3385
DR. LAURA REGINA PUCILLO MD
Student in an Organized Health Care Education/Training Program
MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-8000
FRANCIS ROSATO
Student in an Organized Health Care Education/Training Program
MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6000

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 Lilly Mohtadi's NPI number?

The NPI number for Lilly Mohtadi is 1639813884. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Lilly Mohtadi located?

Lilly Mohtadi practices at Maimonides Medical Center 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Lilly Mohtadi'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 Lilly Mohtadi was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.