Sylvie D Khorenian MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SYLVIE D KHORENIAN MD PC

Practice address

630 E Palisade Ave
Englewood Cliffs, NJ 07632-1842

Phone

(201) 503-0302

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sylvie D Khorenian, MDNPI 1275625246

Title

Owner/Employer

Phone

(201) 503-0302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Sylvie D Khorenian, MD

  • Dermatology Physician
  • Englewood Cliffs, NJ
  • NPI 1275625246
  Medicare reassignment Care Compare group Authorized official
• Elsa Ordoukhanian, MD

  • Dermatology Physician
  • Englewood, NJ
  • NPI 1316958101
  Medicare reassignment Care Compare group NPD
• Theresa Lee Raymond, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1518954635

  NJ

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1295035731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321842",
            "telephone_number": "201-503-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIE D KHORENIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "KHORENIAN",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/EMPLOYER",
        "authorized_official_telephone_number": "201-503-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.