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MOHAMMAD ESMAEILZADEH PA
NPI 1770931982
Physician Assistant - Medical in Bay Shore, NY

Active since May 27, 2016PECOS Enrolled
1700 UNION BLVD, BAY SHORE, NY 11706(631) 665-1600 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mohammad Esmaeilzadeh Pa NPPES

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

MOHAMMAD ESMAEILZADEH PA (NPI 1770931982) is an individual medical provider in Bay Shore, New York, licensed in New York (019622-1) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770931982
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMOHAMMAD ESMAEILZADEHCredential: PA
Location Address1700 UNION BLVDBay Shore, NY 11706-7955
Mailing Address500 Old Westbury RdRoslyn Heights, NY 11577-2215 · (516) 467-6930
Phone(631) 665-1600
Sole ProprietorNo
Enumeration DateMay 27, 2016
✔ NPI 1770931982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 019622-1
1700 UNION BLVD, Bay Shore, NY 11706
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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)

Mohammad Esmaeilzadeh Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
19 services19 patients

Other Providers at the Same Location NPPES 4

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

MS. DIANA DAUS OT
Home Health
1700 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 665-1600
MATTHEW TOMMASINO
Physician Assistant
1700 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 665-1600
JACOB BRAFFMAN
Physician Assistant
1700 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 665-1600
DANA ALJADA
Physician Assistant
1700 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (844) 868-7666

Frequently Asked Questions

What is Mohammad Esmaeilzadeh's NPI number?

The NPI number assigned to this healthcare provider is 1770931982, enumerated as an "individual" on May 27, 2016.

Where is the provider located?

The provider is located at 1700 UNION BLVD BAY SHORE, NY 11706 and the phone number is (631) 665-1600.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.