Ny Neuroscience Associate, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NY NEUROSCIENCE ASSOCIATE, PC

Practice address

Jamaica Hospital 8900 Van Wyck Expressway, Jamaica, Ny
New York Presbyterian Hospital 525 East 68TH Street
New York, NY 10021

Phone

(212) 746-2396

Fax

(212) 772-0357

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jamshid Ghajar, MD, PHD

Title

President

Phone

(212) 746-2396

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811047616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAFAYETTE ST APT 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124018",
            "telephone_number": "212-746-2396",
            "fax_number": "212-772-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMAICA HOSPITAL 8900 VAN WYCK EXPRESSWAY, JAMAICA, NY",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL 525 EAST 68TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-2396",
            "fax_number": "212-772-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY NEUROSCIENCE ASSOCIATE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHAJAR",
        "authorized_official_first_name": "JAMSHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-746-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01033738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.