Koosha Bamdad
Physician β’ Great Neck, NY
621 Middle Neck Rd
Great Neck, NY 110231245
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
621 Middle Neck Rd
Great Neck, NY 110231245
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-08-08NUCC Taxonomy Code: 3336C0003X
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 621 MIDDLE NECK RD, GREAT NECK, NY 110231245 (Tel: 5167308990)
Registered at 621 MIDDLE NECK RD, GREAT NECK, NY 110231245 (Tel: 5167308990)
Pharmacy
NPI status registered as active in NPPES database
Registered at 1530 E 8TH ST APT 3C, BROOKLYN, NY 112307047 (Tel: 9174205213)
Registered at 1530 E 8TH ST APT 3C, BROOKLYN, NY 112307047 (Tel: 9174205213)
Recorded as KOOSHA BAMDAD
Pharmacy
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
621 Middle Neck Rd
Great Neck, NY 110231245
Phone: 5167308990