Organization Active NPI

Babak Mohajer MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1275823270
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
194807 Issued in NY
Legal business name
BABAK MOHAJER MD PC
Practice address
155 5TH Ave
2ND Floor
New York, NY 10010-6802
Phone
(212) 260-6505
Fax
(212) 260-3060
NPI assigned
Apr 11, 2011
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Babak Mohajer, MDNPI 1003839374
Title
Owner
Phone
(212) 260-6505

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 194807 NY Primary

Addresses

Primary practice location

155 5TH Ave
2ND Floor
New York, NY 10010-6802

Mailing address

155 5TH Ave
2ND Floor
New York, NY 10010-6802
Phone (212) 260-6505

Other identifiers 1

IdentifierTypeStateIssuer
A100046036OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

155 5th Ave
Fl 2
New York, NY 10010
Phone (212) 260-6505

20 W 20th St
Ste 703
New York, NY 10011
Phone (212) 260-6505

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": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1275823270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106802",
            "telephone_number": "212-260-6505",
            "fax_number": "212-260-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106802",
            "telephone_number": "212-260-6505",
            "fax_number": "212-260-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK MOHAJER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MOHAJER",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-260-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "194807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100046036",
            "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 Feb 2, 2012; 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.