Northeast Medical Practice of New York PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTHEAST MEDICAL PRACTICE OF NEW YORK PC

Practice address

69 State St FL 13
Albany, NY 12207-2512

Phone

(800) 931-5883

NPI assigned

Dec 19, 2022

Last updated

Mar 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex S Mohseni, MDNPI 1508823246

Title

Physician Owner

Phone

(301) 706-4461

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex S Mohseni, MD

  • Emergency Medicine Physician
  • Bowie, MD
  • NPI 1508823246
  NPD (past) Authorized official
• Lisa Bolgar, FNP-C

  • General Practice Physician
  • Reno, NV
  • NPI 1811540677
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1841902186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST STE 12005035",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011050",
            "telephone_number": "800-931-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 STATE ST FL 13",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072512",
            "telephone_number": "800-931-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL PRACTICE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "301-706-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dayamed.direct.myupdox.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69 State St Fl 13",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122072512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Northeast Parent and Child Society, Inc.

• General Practice Physician in Albany, NY
• Providers in Albany, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.