Nassau Pathology PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1175161 Issued in NY

Legal business name

NASSAU PATHOLOGY PC

Practice address

32 John Bean CT
Suite 202
Port Washington, NY 11050-4629

Phone

(631) 454-4080

Fax

(631) 454-4088

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Aliza Honarvar, M.D.

Title

President

Phone

(631) 454-4080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285771022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115770010",
            "telephone_number": "631-454-4080",
            "fax_number": "631-454-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JOHN BEAN CT",
            "address_2": "SUITE 202",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504629",
            "telephone_number": "631-454-4080",
            "fax_number": "631-454-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONARVAR",
        "authorized_official_first_name": "ALIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-454-4080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "1175161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1175161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Morales, MS CCC-SLP
• Febrian Quratulain Moten, PSYD
• Lena Tung Munter, PA
• Ronald Murphy, PH.D.
• Peter Mychajliw, DDS
• Nicole Natelson, LMSW
• Linda Nazryan, LCSW
• Benjamin T. Neren, D.D.S.
• Barbara Neuman, CSW
• John Neuman, PT, DPT

• Clinical Medical Laboratory in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.