M R a Nejad MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

158736 Issued in NY

Legal business name

M R A NEJAD MD PC

Practice address

560 Route 52
Suite 102
Beacon, NY 12508-1208

Phone

(845) 831-0471

Fax

(845) 831-0306

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. M Reza Ariaey-Nejad, MD

Title

President

Phone

(845) 831-0471

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dutchess Medical Associate, PC

  • Internal Medicine Physician
  • Fishkill, NY
  • NPI 1417357716

  O20090414000505

  Same enrollment

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1558559153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHERWOOD HTS",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903409",
            "telephone_number": "845-831-0471",
            "fax_number": "845-831-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 ROUTE 52",
            "address_2": "SUITE 102",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081208",
            "telephone_number": "845-831-0471",
            "fax_number": "845-831-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M R A NEJAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "ARIAEY-NEJAD",
        "authorized_official_first_name": "M REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-831-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live Your Truth Mental Health Counseling, PLLC
• Tanya Llewellyn, PSYD
• Lowe LCSW, PLLC
• Latoya Lucas
• Jennifer Luchetta
• Kathleen Harwell Macintyre, ATR-BC, LCAT
• Taylor Mackewicz, MHCP
• Gregory E. Maddalena, D.D.S.
• Mary Maddox, MSED
• Danielle Maiorano

• Internal Medicine Physician in Beacon, NY
• Providers in Beacon, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.