New York Neuro Endovascular Surgery, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

128886 Issued in NY

Legal business name

NEW YORK NEURO ENDOVASCULAR SURGERY, PC

Practice address

329 Millwood Road
Chappaqua, NY 10514

Phone

(914) 238-5854

NPI assigned

Sep 2, 2010

Last updated

Oct 19, 2010By 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. Bruce Charles Zablow, MDNPI 1285618843

Title

President

Phone

(914) 242-5253

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Bruce Charles Zablow, MD MSPH

  • Neuroradiology Physician
  • Oradell, NJ
  • NPI 1285618843
  NPD (past) Authorized official

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1861709479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MILLWOOD ROAD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-238-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MILLWOOD ROAD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-238-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEURO ENDOVASCULAR SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ZABLOW",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-242-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "128886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01122201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Mortati, PSY.D.
• Maya Moskowitz
• Mountainside - Chappaqua
• Amy Narvaez, PHARMD
• New York Ambulatory Anesthesia, PLLC
• Dorothy Nolan-Shaw
• North Shore - Lij Anesthesiology, PC
• Northern Westchester Hospital Association
• Northern Westchester Hospital Association
• Now Psychiatry PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.