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

Neikan Moghisaei

Individual provider Physician Assistant · NPI 1104649862

Neikan Moghisaei is a Physician Assistant in Buffalo, New York. Qualified in 2025, 1 year ago. Registered with an NPI since 2024.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

2001 Main St
Buffalo, NY 14208-1035
Phone: (716) 883-7000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104649862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2024
Last updated in NPPESNovember 1, 2024
Certification dateOctober 29, 2024
Mailing address1901 Main Street Mailbox #1013, Buffalo, NY 14208

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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