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Shahrokh Momtahen, MD
NPI 1104959659 · Clinical Medical Laboratory · Farmingdale, NY
Shahrokh Momtahen, MD is a Clinical Medical Laboratory provider in Farmingdale, NY (NPI 1104959659).
Provider details
- NPI number
- 1104959659
- Entity type
- Individual
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 231479-1 (NY)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 Executive Blvd
Farmingdale, NY 11735-4710
Phone: (631) 755-5500
Street-level locationGet directions
Mailing address
102 Grayson St
Staten Island, NY 10306-4425
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2023-03-07
Frequently asked questions
- What is Shahrokh Momtahen's NPI number?
- Shahrokh Momtahen's National Provider Identifier (NPI) is 1104959659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shahrokh Momtahen's specialty?
- Shahrokh Momtahen is listed in the NPPES registry with a primary specialty of Clinical Medical Laboratory (Laboratories).
- Where is Shahrokh Momtahen located?
- Shahrokh Momtahen's practice location on file with NPPES is 60 Executive Blvd, Farmingdale, NY 11735-4710.
- What is Shahrokh Momtahen's phone number?
- The practice phone number listed in the NPPES registry for Shahrokh Momtahen is (631) 755-5500.
- Is Shahrokh Momtahen's NPI active?
- Yes — Shahrokh Momtahen's NPI (1104959659) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.