Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alec Ebraim Vaezi, MD, PHD

Individual provider Otolaryngology Physician · NPI 1154570679

Dr. Alec Ebraim Vaezi, MD, PHD is an Otolaryngology in Mineola, New York. Qualified in 1998, 28 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts, New York and Pennsylvania.

Years since qualifying
28
Licensed in
CA, MA, NY, PA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

120 Mineola Blvd Ste 320
Mineola, NY 11501-4077
Phone: (516) 663-2436
Fax: (516) 663-2780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 253792 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence A105098 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MT183380 (PA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 301004 (NY)

Record details

NPI number1154570679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedSeptember 9, 2008
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address120 Mineola Blvd Ste 320, Mineola, NY 11501-4077

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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