Organization Active NPI

Nyconfidential Behavioral Medicine PC

  • Adult Mental Health Clinic/Center
  • Kew Gardens, NY
National Provider Identifier
1184810137
Registry record updated Sep 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
235260 Issued in NY
Legal business name
NYCONFIDENTIAL BEHAVIORAL MEDICINE PC
Practice address
11929 80TH Rd
Kew Gardens, NY 11415-1105
Phone
(917) 992-7628
NPI assigned
Sep 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2007

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

Authorized official

Name
Dr. Nader Galal, MDNPI 1285845255
Title
Psychiatrist
Phone
(917) 992-7628

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
Adult Mental Health Clinic/Center 261QM0850X 235260 NY Primary

Addresses

Primary practice location

11929 80TH Rd
Kew Gardens, NY 11415-1105

Mailing address

3709 Broadway
3A
Astoria, NY 11103-4060
Phone (917) 992-7628

National Provider Directory

National Provider Directory

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": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190505600000",
    "number": "1184810137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 BROADWAY",
            "address_2": "3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034060",
            "telephone_number": "917-992-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "917-992-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCONFIDENTIAL BEHAVIORAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2007-09-23",
        "status": "A",
        "authorized_official_last_name": "GALAL",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "917-992-7628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "235260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; 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.