DR. SHAHIN GHOBADI D.M.D NPI 1902011497

NPI Information

NPI: 1902011497
Provider Name: DR. SHAHIN GHOBADI, D.M.D
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 1600 HARRISON AVE
STE 101
MAMARONECK, NY
ZIP 10543
Phone: (914) 698-4090

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NPI Details

DR. Shahin Ghobadi, D.M.D is an oral and maxillofacial surgery dentist in Mamaroneck, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Shahin Ghobadi, D.M.D NPI is 1902011497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 HARRISON AVE
STE 101
MAMARONECK, NY
ZIP 10543
Phone: (914) 698-4090
Fax: (914) 698-2195

The NPI 1902011497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		22DI02332400	NEW JERSEY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	053865	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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