Organization Active NPI

Jay S. Kwawer, PH.D., P.C.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1760657985
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4237 Issued in NY
Legal business name
JAY S. KWAWER, PH.D., P.C.
Practice address
490 W End Ave
Suite 1-E
New York, NY 10024-4329
Phone
(212) 799-3083
Fax
(815) 366-9081
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Jay S. Kwawer, PH.D.
Title
President
Phone
(212) 799-3083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4237 NY Primary

Addresses

Primary practice location

490 W End Ave
Suite 1-E
New York, NY 10024-4329

Mailing address

490 W End Ave
Suite 1-E
New York, NY 10024-4330
Phone (212) 799-3083

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1760657985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W END AVE",
            "address_2": "SUITE 1-E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244330",
            "telephone_number": "212-799-3083",
            "fax_number": "815-366-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W END AVE",
            "address_2": "SUITE 1-E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244329",
            "telephone_number": "212-799-3083",
            "fax_number": "815-366-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. KWAWER, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KWAWER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-799-3083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4237",
            "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 Apr 29, 2008; 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.