Individual provider Active NPI

Mahdeiran Ghahary

  • Professional Counselor
  • Teaneck, NJ
National Provider Identifier
1841770914
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00637300 Issued in NJ
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

Updated by the provider on Aug 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37PC00637300NJMDProfessional 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.

Verify at the official NPI Registry.