Organization Active NPI

Kitaj Headache Center LLC

  • Neurology Physician
  • Yorktown Heights, NY
National Provider Identifier
1790876324
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
205773 Issued in NY
Legal business name
KITAJ HEADACHE CENTER LLC
Practice address
2649 Strang Blvd
Suite 208
Yorktown Heights, NY 10598-2939
Phone
(914) 245-3962
Fax
(914) 254-3963
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Madeleine B Kitaj, M.D.NPI 1881609451
Title
Sole Proprietor
Phone
(203) 262-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 205773 NY Primary

Addresses

Primary practice location

2649 Strang Blvd
Suite 208
Yorktown Heights, NY 10598-2939

Mailing address

2649 Strang Blvd
Suite 208
Yorktown Heights, NY 10598-2939
Phone (914) 245-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090605000019 NY Part B Supplier - Clinic/Group Practice 1557411949 Receives reassigned benefits from 1 practitioner
Practice locations: Croton on Hudson, NY
O20120424000584 CT Part B Supplier - Clinic/Group Practice 1557411949 Receives reassigned benefits from 1 practitioner
Practice locations: Southbury, CT

National Provider Directory

National Provider Directory

Locations

2 Croton Point Ave
Croton on Hudson, NY 10520
Phone (914) 245-3962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1790876324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "SUITE 208",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982939",
            "telephone_number": "914-245-3962",
            "fax_number": "914-254-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "SUITE 208",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982939",
            "telephone_number": "914-245-3962",
            "fax_number": "914-254-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITAJ HEADACHE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "KITAJ",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "203-262-8430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "205773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.