Organization Active NPI

Jay a. Seitz, PH.D., P.C.

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1235384587
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
010816 Issued in NY
Legal business name
JAY A. SEITZ, PH.D., P.C.
Practice address
590 W End Ave
Suite 3a
New York, NY 10024-1722
Phone
(917) 209-9623
Fax
(212) 594-2468
NPI assigned
Nov 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Jay A Seitz, PH.D.
Title
President/Owner
Phone
(917) 209-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 010816 NY Primary

Addresses

Primary practice location

590 W End Ave
Suite 3a
New York, NY 10024-1722

Mailing address

590 W End Ave
Suite 3a
New York, NY 10024-1722
Phone (917) 209-9623

Other identifiers 1

IdentifierTypeStateIssuer
01-694-077MedicaidNY

National Provider Directory

National Provider Directory

Locations

450 Fashion Ave
Ste 309
New York, NY 10123
Phone (212) 244-4520

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1235384587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W END AVE",
            "address_2": "SUITE 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241722",
            "telephone_number": "917-209-9623",
            "fax_number": "212-594-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W END AVE",
            "address_2": "SUITE 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241722",
            "telephone_number": "917-209-9623",
            "fax_number": "212-594-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A. SEITZ, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-28",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-209-9623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "010816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-694-077",
            "state": "NY"
        }
    ],
    "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 10, 2011; 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.