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

Individual provider Interventional Pain Medicine Physician · NPI 1821618141

Dr. Mariam Vaezi, MD is a Pain Management in Bronx, New York. Qualified in 2006, 20 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 Halperin Ave
Bronx, NY 10461-2630
Phone: (718) 583-7736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 60011312 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 60011312 (NY)

Record details

NPI number1821618141
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025
Mailing address2626 Halperin Ave, Bronx, NY 10461-2631

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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