DR. SHAHRAM HORMOZI (NPI# 1215916721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215916721 |
| Entity Type | Individual |
| Full Name | DR. SHAHRAM HORMOZI |
| Credential | M.D. |
| Practice Address |
515 Route 111 2nd Floor Hauppauge NY 11788 |
| Mailing Address |
515 Route 111 Second Floor Hauppauge NY 11788-4339 |
| Practice Telephone | 6312241819 |
| Practice Fax Number | 6312241812 |
| Mailing Telephone | 6312241819 |
| Mailing Fax Number | 6312241812 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
201817 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA/US HEALTHCARE | 3777960 | 01 |
| NY | 02192487 | 05 | |
| NY | GHI | 2197789 | 01 |
| NY | HIP | 58313P | 01 |
| NY | MDNY | AA71817 | 01 |
| NY | VYTRA | 163571 | 01 |
| NY | OXFORD | P2531781 | 01 |
| NY | EMPIRE BCBS | 608P41 | 01 |
| Street Address |
515 ROUTE 111 2ND FLOOR |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235512997 | Alfonsina Larocca-tocco | Nurse Practitioner | 515 Route 111, Hauppauge, NY 11788-4339 | 2015-06-30 |
| 1891932356 | Shahram Hormozi, M.d., P.C. | Internal Medicine | 515 Route 111, 2nd Floor, Hauppauge, NY 11788-4339 | 2009-01-20 |
| 1982859765 | Mulder Family Physical Therapy, P.C. | Physical Therapist | 515 Route 111, Hauppauge, NY 11788-4339 | 2008-11-20 |
| 1902980071 | Elliot Lance Forman | Chiropractor | 515 Route 111, Suite 101, Hauppauge, NY 11788-4339 | 2006-10-25 |
| 1356435846 | Roberta Bianco | Family Medicine | 515 Route 111, Hauppauge, NY 11788-4339 | 2006-10-02 |
| 1568497204 | Leigh Ann Hutchinson | Specialist | 515 Route 111, 2nd Floor, Hauppauge, NY 11788-4339 | 2006-07-11 |
| 1235119066 | Ruth G Diaz | Internal Medicine | 515 Route 111, Fl 2, Hauppauge, NY 11788-4339 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891932356 | Shahram Hormozi, M.d., P.C. | Internal Medicine | 515 Route 111, 2nd Floor, Hauppauge, NY 11788-4339 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.