Organization Active NPI

Adel Mostafavi, MD PC

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1093327611
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ADEL MOSTAFAVI, MD PC
Practice address
104 W 40TH St RM 400
New York, NY 10018-3692
Phone
(646) 661-2227
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Dr. Adel Mostafavi, MDNPI 1962526756
Title
Ceo
Phone
(310) 871-0670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

104 W 40TH St RM 400
New York, NY 10018-3692

Mailing address

801 S Grand Ave Ste 475
Los Angeles, CA 90017-4622
Phone (949) 400-2488

National Provider Directory

National Provider Directory
Tax ID family
Adel Mostafavi MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 W 40th St
Rm 400
New York, NY 10018
Phone (201) 647-1858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1093327611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S GRAND AVE STE 475",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174622",
            "telephone_number": "949-400-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 40TH ST RM 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183692",
            "telephone_number": "646-661-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL MOSTAFAVI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-871-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.