NPIMap

Organization Active NPI

Nyc Medical & Neurological Offices, P.C.

  • Neurology Physician
  • Elmhurst, NY
National Provider Identifier
1235325747
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
202459-1 Issued in NY
Legal business name
NYC MEDICAL & NEUROLOGICAL OFFICES, P.C.
Practice address
9131 Queens Blvd
Elmhurst, NY 11373-5555
Phone
(718) 454-2222
Fax
(718) 264-0257
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mehrdad Golzad, MDNPI 1306813597
Title
President
Phone
(718) 454-2222

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 202459-1 NY Primary

Addresses

Primary practice location

9131 Queens Blvd
Elmhurst, NY 11373-5555

Mailing address

PO Box 747939
Rego Park, NY 11374-7939
Phone (718) 454-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100408000361 NY Part B Supplier - Clinic/Group Practice 5395871891 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

142 Joralemon St
Fl 2
Brooklyn, NY 11201
Phone (718) 454-2222

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1235325747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747939",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113747939",
            "telephone_number": "718-454-2222",
            "fax_number": "718-264-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735555",
            "telephone_number": "718-454-2222",
            "fax_number": "718-264-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC MEDICAL & NEUROLOGICAL OFFICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "GOLZAD",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-454-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "202459-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.