Paul Kechijian, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PAUL KECHIJIAN, MD, PC

Practice address

935 Northern Blvd
Suite 103
Great Neck, NY 11021-5316

Phone

(516) 482-0650

Fax

(516) 487-0204

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kechijian, MD

Title

Owner

Phone

(516) 482-0650

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.

• Sherry S Li, M.D., PH.D.

  • Dermatology Physician
  • Flushing, NY
  • NPI 1992742217
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1902085269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215316",
            "telephone_number": "516-482-0650",
            "fax_number": "516-487-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215316",
            "telephone_number": "516-482-0650",
            "fax_number": "516-487-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KECHIJIAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "KECHIJIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-482-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B12262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niyati Patel
• Gabriela Paternostro, DPT
• Peter Patetsios, M.D., F.A.C.S
• Patricia Newmark-Carren, LCSW, PLLC
• Paul Behfarin MD PC
• Elizabeth Anne Paul, DO
• Paula M Okin Dba North Shore Speech & Language Associates (North Shore Speech and Language Asscoaites)
• Pavo Cristatus Medical PC
• Tamatha Peck, MASTER OF ARTS
• Annabelle Josephine Pecora

• Dermatology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.