Individual provider Active NPI

Ermal Bojdani, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1609226323
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
296571 Issued in NY
Practice address
630 W 168TH St
New York, NY 10032-3725
Phone
(443) 813-3117
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 277228 MA
Psychiatry Physician 2084P0800X 296571 NY Primary

Addresses

Primary practice location

630 W 168TH St
New York, NY 10032-3725

Mailing address

91 Fairhaven Dr
Midland Park, NJ 07432-1018
Phone (443) 813-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190131001685 MA Practitioner - Psychiatry 6901143718 Reassigns benefits to 2 organizations
I20201201002788 NY Practitioner - Psychiatry 6901143718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
277228MAMDPsychiatry Physician
296571NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Dec 1, 2019 Accepting new patients
Rivia Medical PLLC CurrentSince Apr 23, 2023 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Feb 19, 2026 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince May 8, 2019 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

115 Main St
Ste 2D
North Easton, MA 02356
Phone (508) 238-7766

115 Main St
Ste D
North Easton, MA 02356
Phone (508) 238-7766

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ebojdani1811544@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1609226323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FAIRHAVEN DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321018",
            "telephone_number": "443-813-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "443-813-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJDANI",
        "first_name": "ERMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "277228",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "296571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.