Organization Active NPI

Javeria Sahib Din Corporation

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1891475315
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JAVERIA SAHIB DIN CORPORATION
Practice address
1501 Voorhies Ave Apt 7G
Brooklyn, NY 11235-3989
Phone
(929) 327-5444
Fax
(201) 604-7996
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Javeria Din, MD
Title
Owner
Phone
(929) 327-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1501 Voorhies Ave Apt 7G
Brooklyn, NY 11235-3989

Mailing address

1 Avalon Way Unit 4101
Boonton, NJ 07005-2356
Phone (973) 525-9540

Other practice location 1

1 Avalon Way Unit 4101
Boonton, NJ 07005-2356
Phone (929) 327-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231121000858 NY Part B Supplier - Clinic/Group Practice 0244688877 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20231215000470 NJ Part B Supplier - Clinic/Group Practice 0244688877 Receives reassigned benefits from 1 practitioner
Practice locations: Boonton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1891475315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVALON WAY UNIT 4101",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070052356",
            "telephone_number": "973-525-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 VOORHIES AVE APT 7G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353989",
            "telephone_number": "929-327-5444",
            "fax_number": "201-604-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Avalon Way Unit 4101",
            "address_purpose": "LOCATION",
            "city": "Boonton",
            "state": "NJ",
            "postal_code": "070052356",
            "country_code": "US",
            "telephone_number": "929-327-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAVERIA SAHIB DIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "DIN",
        "authorized_official_first_name": "JAVERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-327-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.