1285855387 NPI number — JOHN M. ALJIAN, MD, PC

Table of content: (NPI 1285855387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285855387 NPI number — JOHN M. ALJIAN, MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN M. ALJIAN, MD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285855387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 LUDLOW ST
Provider Second Line Business Mailing Address:
STE 618
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10705-1947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-969-6995
Provider Business Mailing Address Fax Number:
914-969-2917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 LUDLOW ST
Provider Second Line Business Practice Location Address:
STE 618
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10705-1947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-969-6995
Provider Business Practice Location Address Fax Number:
914-969-2917
Provider Enumeration Date:
05/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALJIAN
Authorized Official First Name:
LAUREN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
914-969-6995

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  190447 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0499977 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5115587 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P706852 . This is a "OXFORD HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01760663 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 419A51 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7339402 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2C7904 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 39948P . This is a "HIP HELATH PLAN NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 68T803 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com