Dr Omar Bashayan Physician PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

265495 Issued in NY

Legal business name

DR OMAR BASHAYAN PHYSICIAN PLLC

Practice address

155 W 68TH St Apt 1102
New York, NY 10023-5816

Phone

(917) 374-2944

Fax

(718) 334-3441

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Omar BashayanNPI 1093058273

Title

President

Phone

(917) 374-2944

Specialties & licenses 1

Addresses

Practitioners 1

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

• Omar Bashayan, M.D

  • Child & Adolescent Psychiatry Physician
  • New York, NY
  • NPI 1093058273

  Child & Adolescent Psychiatry

  NPD (past) Authorized official

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1275918096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 68TH ST APT 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235816",
            "telephone_number": "917-374-2944",
            "fax_number": "718-334-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 68TH ST APT 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235816",
            "telephone_number": "917-374-2944",
            "fax_number": "718-334-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OMAR BASHAYAN PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BASHAYAN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-374-2944",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "265495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Lawrence Feder
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• Dr Paul Poulakos DO, LLC
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• All providers in New York, NY
• Child & Adolescent Psychiatry Physician in New York

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