1457381477 NPI number — DOBBS FERRY EMERGENCY MEDICINE, PC

Table of content: ZARA RAFIQ LODHRA DO (NPI 1225726763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457381477 NPI number — DOBBS FERRY EMERGENCY MEDICINE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOBBS FERRY EMERGENCY MEDICINE, 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:
1457381477
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4460 LAKE FOREST DR STE 216
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE ASH
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45242-3755
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-513-3044
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 ASHFORD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOBBS FERRY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10522-1924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-368-4800
Provider Business Practice Location Address Fax Number:
845-369-1697
Provider Enumeration Date:
07/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SILBERMAN
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
845-368-4800

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084A0401X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363AS0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 01218304 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".