NPIMap

Organization Active NPI

Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
National Provider Identifier
1942912381
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PY MEDICAL SERVICES OF NJ LLC
Practice address
65 Jay St
Newark, NJ 07103-3235
Phone
(718) 709-0940
NPI assigned
Dec 16, 2022
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Peyman Younesi, MDNPI 1891942645
Title
Owner
Phone
(718) 709-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

65 Jay St
Newark, NJ 07103-3235

Mailing address

6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106002325 NJ Part B Supplier - Clinic/Group Practice 6901276922 Receives reassigned benefits from 62 practitioners

National Provider Directory

National Provider Directory

Locations

632 Edwards Ave
#R
Chesilhurst, NJ 08089
Phone (856) 767-0243

1015 Amboy Ave
Ste 1
Edison, NJ 08837
Phone (732) 225-5990

444 Mount Prospect Ave
Ste 1615
Newark, NJ 07104
Phone (973) 484-4441

338 Chestnut St
Ste 1
Passaic, NJ 07055
Phone (973) 777-7800

1777 Lawrence St
Rahway, NJ 07065
Phone (732) 396-1298

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1942912381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "718-709-0940",
            "fax_number": "516-441-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033235",
            "telephone_number": "718-709-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PY MEDICAL SERVICES OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "YOUNESI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-709-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.