Valley Stream Medical Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VALLEY STREAM MEDICAL SERVICES PC

Practice address

31 Seaton PL
Valley Stream, NY 11580-1117

Phone

(201) 658-1722

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By 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

Anjum Azam, M.D.NPI 1285729699

Title

President

Phone

(201) 658-1722

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anjum Azam, MD

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1285729699
  NPD (past) Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1629346283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEATON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801117",
            "telephone_number": "201-658-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEATON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801117",
            "telephone_number": "201-658-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-658-1722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.