M Lavian MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163228-1 Issued in NY

Legal business name

M LAVIAN MD LLC

Practice address

129 Wickham Ave
Middletown, NY 10940-3714

Phone

(845) 341-1805

Fax

(845) 342-9218

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Manouchehr Lavian, M.D.NPI 1013922491

Title

Owner

Phone

(845) 341-1805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Manouchehr Lavian, MD LLC

  • Psychiatry Physician
  • Middletown, NY
  • NPI 1013922491
  Medicare reassignment NPD Authorized official
• Rodolfo A Nazario, MD

  • General Practice Physician
  • Middletown, NY
  • NPI 1730174111
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1114282274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403714",
            "telephone_number": "845-341-1805",
            "fax_number": "845-342-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403714",
            "telephone_number": "845-341-1805",
            "fax_number": "845-342-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LAVIAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "LAVIAN",
        "authorized_official_first_name": "MANOUCHEHR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-341-1805",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163228-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Lynch, DMD
• Patricia Lynch, D.O
• Laura Lynott, M.S.
• Gemma Lyon
• Joyce Barbara Lyons, RN
• Nina Rose Maas, LMSW
• Latoya Alissa Maccalla
• Lou Ann Macco, RN
• Mairin Grace Macdougall
• Jessica Machado, NURSE PRACTITIONER

• Psychiatry Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.