Jamal Mahdavian (NPI# 1144373929, PAC ID# 0345263414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1144373929 |
| PAC ID by PECOS | 0345263414 |
| Professional Enrollment ID | I20080729000328 |
| Full Name | Jamal Mahdavian |
| Address |
40 Hurley Ave Suite 5 Kingston NY 12401-3738 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330004 | HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS |
| 330224 | HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 40 Hurley Ave, Suite 5, Kingston, NY 12401-3738 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
40 HURLEY AVE SUITE 5 |
| City | KINGSTON |
| State | NY |
| Zip | 12401-3738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bardev Kapila | Otolaryngology | 40 Hurley Ave, Suite 15, Kingston, NY 12401-3738 | |
| William Tweeddale | Physician Assistant | Anderson Medical P.C. Dba Emergency One | 40 Hurley Ave, Suite 4, Kingston, NY 12401-3738 |
| Jacqueline N Jordan | Nurse Practitioner | Anderson Medical P.C. Dba Emergency One | 40 Hurley Ave, Suite 4, Kingston, NY 12401-3738 |
| Isaac R Rosenblum | Physician Assistant | Hudson Dermatology, PC | 40 Hurley Ave, Suite 3, Kingston, NY 12401-3738 |
| Hendrik Uyttendaele | Dermatology | Hudson Dermatology, PC | 40 Hurley Ave, Suite 3, Kingston, NY 12401-3738 |
| Jill M Tschinkel | Nurse Practitioner | Anderson Medical P.C. Dba Emergency One | 40 Hurley Ave, Suite 4, Kingston, NY 12401-3738 |
| Ferdinand F Anderson Jr. | Emergency Medicine | Anderson Medical P.C. Dba Emergency One | 40 Hurley Ave, Suite 4, Kingston, NY 12401-3738 |
| Filamer D Kabigting | Dermatology | Hudson Dermatology, PC | 40 Hurley Ave, Suite 3, Kingston, NY 12401-3738 |
| Sarah Zaino | Physician Assistant | Anderson Medical P.C. Dba Emergency One | 40 Hurley Ave, Suite 4, Kingston, NY 12401-3738 |
| Kristina H Carr | Physician Assistant | Hudson Dermatology, PC | 40 Hurley Ave, Suite 3, Kingston, NY 12401-3738 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Paul Sumber | Podiatry | 190 Fair St, Kingston, NY 12401-0514 | |
| Shany David | Neurology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Anthony A Blisko | Chiropractic | 134 Sawkill Rd, Kingston, NY 12401-1208 | |
| Stefan T Rau | Diagnostic Radiology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Janet N Tamai | Neurology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Danielle S Williams | Diagnostic Radiology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Timothy Shepard | Diagnostic Radiology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| John A Mastrangelo | Diagnostic Radiology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Anita K Goodrich | Family Medicine | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Gerald M Kufner | Neurology | Health Quest Medical Practice, PC | 150 Sawkill Rd, Kingston, NY 12401-1208 |
| Find all physicians in zip 12401 | |||
| City | KINGSTON |
| Zip Code | 12401 |
| Specialty | GENERAL SURGERY |
| City + Specialty | KINGSTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jamal Mahdavian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.