Organization Active NPI

Omid Nikrouz MD PC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1225449440
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OMID NIKROUZ MD PC
Practice address
19 East 80TH St
1E
New York, NY 11075
Phone
(201) 927-9825
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Omid Nikrouz, MDNPI 1073775912
Title
Owner
Phone
(201) 927-3825

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

19 East 80TH St
1E
New York, NY 11075

Mailing address

390 Burnet Place
Paramus, NJ 07652

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": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1225449440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BURNET PLACE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EAST 80TH ST",
            "address_2": "1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11075",
            "telephone_number": "201-927-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMID NIKROUZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "NIKROUZ",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-927-3825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 May 9, 2014; 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.