Jonathan D Victor, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

146505 Issued in NY

Practice address

520 E 70TH St # Starr-607
New York, NY 10021-9800

Phone

(212) 746-2340

Fax

(212) 746-8532

NPI assigned

Oct 9, 2006

Last updated

Sep 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1316034481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # STARR-607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "212-746-0373",
            "fax_number": "212-746-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # STARR-607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "212-746-2340",
            "fax_number": "212-746-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "146505",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "146505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00983160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Dermatology & Rejuvenation, PC
• Ryan Victor Joseph, MD
• Victor M. Grazi, M.D., Andrew R. Kramer, M.D., Jonathan Lanzkowsky, M.
• Edouard Joel Victor, MHC-LP
• Jessica Victor
• Steven Allan Victor, MD
• Victoria C. Bellucci, LCSW
• Victoria Jeong Park DDS PC (Prosth & Co. Dental)
• Victoria Minior MD PLLC
• Victoria Moran Physical Therapy PLLC

• Clinical Neurophysiology Physician in New York, NY
• Providers in New York, NY by specialty
• Clinical Neurophysiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.