Active NPI
Parham Delijani, M.S., LAC.
- Acupuncturist
- Great Neck, NY
National Provider Identifier
1003139627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 00423-1
- Practice address
- 350 Northern Blvd
Great Neck, NY 11021-4809 - Phone
- (212) 563-2242
- Fax
- (212) 563-0220
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 00423-1 | NY | Primary |
Addresses
Primary practice location
350 Northern Blvd
Great Neck, NY 11021-4809
Mailing address
124 W 36TH St
New York, NY 10018-6915
Phone (212) 563-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00423-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1003139627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W 36TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100186915",
"telephone_number": "212-563-2242",
"fax_number": "212-563-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214809",
"telephone_number": "212-563-2242",
"fax_number": "212-563-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIJANI",
"first_name": "PARHAM",
"name_prefix": "Mr.",
"credential": "M.S., LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "00423-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.