Organization Active NPI

Tatyana Yuzbashyan MD PC

  • Neurology Physician
  • Rego Park, NY
National Provider Identifier
1023357159
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
258127 Issued in NY
Legal business name
TATYANA YUZBASHYAN MD PC
Practice address
97-01 66TH Ave.
Rego Park, NY 11374
Phone
(718) 275-5200
Fax
(718) 275-6864
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Tatyana Yuzbashyan, MD
Title
Owner
Phone
(516) 520-5498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 258127 NY Primary

Addresses

Primary practice location

97-01 66TH Ave.
Rego Park, NY 11374

Mailing address

50-10 44TH Street
Woodside, NY 11377
Phone (718) 275-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1023357159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50-10 44TH STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-275-5200",
            "fax_number": "718-275-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-01 66TH AVE.",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-275-5200",
            "fax_number": "718-275-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATYANA YUZBASHYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "YUZBASHYAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-520-5498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "258127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.