Individual provider Active NPI

Valbona Bonnie Nezaj

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1508302548
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000986 Issued in NY
Practice address
99 University PL Ste 205
New York, NY 10003-4575
Phone
(917) 648-9733
Fax
(917) 648-9733
NPI assigned
Jan 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000986 NY Primary

Addresses

Primary practice location

99 University PL Ste 205
New York, NY 10003-4575

Mailing address

17 E 7TH St Apt 5B
New York, NY 10003-8091
Phone (917) 648-9733

Other practice location 1

40 W 13th St
New York, NY 10011-7940
Phone (917) 648-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508302548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 7TH ST APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038091",
            "telephone_number": "917-648-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 UNIVERSITY PL STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034575",
            "telephone_number": "917-648-9733",
            "fax_number": "917-648-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117940",
            "country_code": "US",
            "telephone_number": "917-648-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEZAJ",
        "first_name": "VALBONA",
        "middle_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000986",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2018; 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.