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DR. HORMOZ MOHTASHEMI MD
NPI 1851304562
General Practice in Wayne, NJ

Active since August 14, 2006PECOS Enrolled
516 HAMBURG TPKE, SUITE 11, WAYNE, NJ 07470(973) 956-8080(973) 790-0450 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hormoz Mohtashemi Md NPPES

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

DR. HORMOZ MOHTASHEMI MD (NPI 1851304562) is an individual general practice provider in Wayne, New Jersey, licensed in New Jersey (MAD02603900) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851304562
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. HORMOZ MOHTASHEMICredential: MD
Location Address516 HAMBURG TPKE, SUITE 11Wayne, NJ 07470-2062
Mailing Address516 Hamburg Tpke, Suite 11Wayne, NJ 07470-2062 · (973) 956-8080 · Fax (973) 790-0450
Phone(973) 956-8080
Fax(973) 790-0450
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateSeptember 10, 2007
✔ NPI 1851304562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · MAD02603900
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
516 HAMBURG TPKE, Wayne, NJ 07470
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Other Identifiers 2

Medicare ID-Type Unspecified442996
Medicare UPINC54631

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hormoz Mohtashemi Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Hormoz Mohtashemi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medwell LLC
4.4 mi
General Practice
33 CENTRAL AVE
Midland Park, NJ 07432
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
NPI 1659384360 (201) 689-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. LIUAN GOF DC
Chiropractor
516 HAMBURG TPKE, SUITE 5
WAYNE, NJ 07470
Passaic County (973) 790-3000
WAYNE RADIOLOGY CENTER LLC
Clinic/Center (Radiology)
516 HAMBURG TPKE, SUITE 6
WAYNE, NJ 07470
Passaic County (973) 942-5714
DR. ROBERT FERNAND MD
Orthopaedic Surgery
516 HAMBURG TPKE, SUITE # 12
WAYNE, NJ 07470
Passaic County (973) 595-7922
VELCOR CONSULTING CORP.
Specialist/Technologist Cardiovascular (Vascular Specialist)
516 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (862) 201-7831
LIFEFORCE CHIROPRACTIC, LLC
Chiropractor
516 HAMBURG TPKE, SUITE # 5
WAYNE, NJ 07470
Passaic County (973) 790-3000
DR. CHARLES F MACALUSO M.D.
Specialist
516 HAMBURG TPKE, SUITE 5
WAYNE, NJ 07470
Passaic County (973) 790-8604
HEALTH CONSULTANTS OF NORTH JERSEY
Family Medicine
516 HAMBURG TPKE, SUITE 5
WAYNE, NJ 07470
Passaic County (973) 925-7770
RADIOLOGY IMAGING ASSOCIATES
Clinic/Center (Radiology)
516 HAMBURG TPKE, SUITE 6
WAYNE, NJ 07470
Passaic County (973) 942-2266

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 Hormoz Mohtashemi's NPI number?

The NPI number for Hormoz Mohtashemi is 1851304562. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Hormoz Mohtashemi located?

Hormoz Mohtashemi practices at 516 Hamburg Tpke Suite 11, Wayne, NJ 07470. The listed phone number is (973) 956-8080.

What is Hormoz Mohtashemi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Hormoz Mohtashemi enrolled in Medicare?

Yes. Hormoz Mohtashemi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hormoz Mohtashemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hormoz Mohtashemi reassigns Medicare benefits to Medwell LLC (Midland Park, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hormoz Mohtashemi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hormoz Mohtashemi was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.