Reza Zarnegar, DO., PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

239736 Issued in NY

Legal business name

REZA ZARNEGAR, DO., PC

Practice address

5916 174TH St
Lower Level
Fresh Meadows, NY 11365-1539

Phone

(718) 670-1512

Fax

(718) 747-1262

NPI assigned

Jan 29, 2010

Last updated

Jan 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Clo Vezza

Title

Biller

Phone

(718) 886-1631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1609107796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 174TH ST",
            "address_2": "LOWER LEVEL",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651539",
            "telephone_number": "718-670-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 174TH ST",
            "address_2": "LOWER LEVEL",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651539",
            "telephone_number": "718-670-1512",
            "fax_number": "718-747-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA ZARNEGAR, DO., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "VEZZA",
        "authorized_official_first_name": "CLO",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "718-886-1631",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "239736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.