NPIMap

Organization Active NPI

Aldad Medical PC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1013514447
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALDAD MEDICAL PC
Practice address
159 N Sangamon St Ste 200&300
Chicago, IL 60607-2201
Phone
(516) 505-7200
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamir AldadNPI 1407207830
Title
President
Phone
(516) 505-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

159 N Sangamon St Ste 200&300
Chicago, IL 60607-2201

Mailing address

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone (516) 559-4041

Other identifiers 1

IdentifierTypeStateIssuer
1013514447MedicaidIL

National Provider Directory

National Provider Directory

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1013514447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-559-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N SANGAMON ST STE 200&300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072201",
            "telephone_number": "516-505-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "ALDAD",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-505-7200"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013514447",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.