MARJAN Y. TABIBZADEH, MD, PLLC
NPI 1912283920
Pediatrics in Great Neck, NY

Active since October 24, 2011CLIA 33D0150968 · Waiver
230 MIDDLE NECK RD, SUITE 3, GREAT NECK, NY 11021(516) 829-5117(516) 829-5217 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marjan Y. Tabibzadeh, Md, Pllc NPPES

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

MARJAN Y. TABIBZADEH, MD, PLLC (NPI 1912283920) is a healthcare organization registered as a pediatrics in Great Neck, New York and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Marjan Yerushalmi Tabibzadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1912283920
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARJAN Y. TABIBZADEH, MD, PLLC
Location Address230 MIDDLE NECK RD, SUITE 3Great Neck, NY 11021-1168
Mailing Address230 Middle Neck Rd, Suite 3Great Neck, NY 11021-1168 · (516) 829-5117 · Fax (516) 829-5217
Fax(516) 829-5217
Organization SubpartNo
Authorized OfficialMarjan Yerushalmi TabibzadehOwner · (516) 829-5117
Enumeration DateOctober 24, 2011
NPI 1912283920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 199640
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
230 MIDDLE NECK RD, Great Neck, NY 11021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0150968

Marjan Y Tabibzadeh MD PLLC · Manhasset, NY
Active · expires Dec 27, 2026
CLIA Number33D0150968
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDr. Marjan Y. Tabibzadeh
Laboratory Phone(516) 829-5117
Laboratory LocationMarjan Y Tabibzadeh MD PLLC1615 Northern Boulevard, Suite 200, Manhasset, NY 11030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
230 MIDDLE NECK RD
GREAT NECK, NY 11021
Acupuncturist
230 MIDDLE NECK RD, SUITE 1
GREAT NECK, NY 11021
Psychologist (Clinical)
230 MIDDLE NECK RD, SUITE 3
GREAT NECK, NY 11021
Podiatrist (Primary Podiatric Medicine)
230 MIDDLE NECK RD
GREAT NECK, NY 11021
Chiropractor
230 MIDDLE NECK RD, SUITE #1
GREAT NECK, NY 11021

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 Marjan Y. Tabibzadeh, MD, PLLC's NPI number?

The NPI number for Marjan Y. Tabibzadeh, MD, PLLC is 1912283920. It was assigned to this organization in the NPPES registry on October 24, 2011.

Where is Marjan Y. Tabibzadeh, MD, PLLC located?

Marjan Y. Tabibzadeh, MD, PLLC is located at 230 Middle Neck Rd Suite 3, Great Neck, NY 11021. The listed phone number is (516) 829-5117.

What is Marjan Y. Tabibzadeh, MD, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Marjan Y. Tabibzadeh, MD, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0150968) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marjan Y. Tabibzadeh, MD, PLLC was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.