DR. SEROSH NAEEM M.D.
NPI 1891371613
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Serosh Naeem's NPI number?

The NPI number for Serosh Naeem is 1891371613. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Serosh Naeem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Serosh Naeem was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 22, 2021PECOS Enrolled

101 NICOLLS RD RM 20, STONY BROOK, NY 11794(631) 444-2739(631) 444-8954 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Serosh Naeem M.d. NPPES

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

DR. SEROSH NAEEM M.D. (NPI 1891371613) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891371613

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SEROSH NAEEMCredential: M.D.

Location Address101 NICOLLS RD RM 20Stony Brook, NY 11794-8091

Mailing Address101 Nicolls Rd Rm 20Stony Brook, NY 11794-8091 · (631) 444-2739 · Fax (631) 444-8954

Phone(631) 444-2739

Fax(631) 444-8954

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1891371613 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.

101 NICOLLS RD RM 20, Stony Brook, NY 11794

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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. Serosh Naeem M.d. 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.

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.

JULIA XAVIER MD

Student in an Organized Health Care Education/Training Program