Active NPI
Mahdeiran Ghahary
- Professional Counselor
- Teaneck, NJ
National Provider Identifier
1841770914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00637300
- Practice address
- 1485 Teaneck Rd
Teaneck, NJ 07666-3626 - Phone
- (201) 837-9090
- Fax
- (201) 837-9393
- NPI assigned
- Aug 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00637300 | NJ | Primary |
Addresses
Primary practice location
1485 Teaneck Rd
Teaneck, NJ 07666-3626
Mailing address
438 Poets Way
Mahwah, NJ 07430-2086
Phone (201) 704-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00637300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534550400000",
"number": "1841770914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 POETS WAY",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302086",
"telephone_number": "201-704-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663626",
"telephone_number": "201-837-9090",
"fax_number": "201-837-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAHARY",
"first_name": "MAHDEIRAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2018-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00637300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.