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NEUROLOGY PRACTICE OF NY PC
Complete NPI Record 1568730703
Psychiatry & Neurology - Neurology in Carle Place, NY

NPI Status: Active since December 02, 2011

Contact Information

8 CORNWALL LN APT 2T
CARLE PLACE, NY
ZIP 11514
Phone: (646) 479-3871

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Authorized Official Last Name
  20. Authorized Official First Name
  21. Authorized Official Middle Name
  22. Authorized Official Title or Position
  23. Authorized Official Telephone Number
  24. Healthcare Provider Taxonomy Code 1
  25. Provider License Number 1
  26. Provider License Number State Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Is Organization Subpart
  29. Authorized Official Name Prefix Text
  30. Authorized Official Credential Text
  31. Healthcare Provider Taxonomy Group 1

Complete NPI Dataset

This page represents the complete record for NPI 1568730703. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1568730703
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 8 CORNWALL LN APT 2T
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: CARLE PLACE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NY
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Business Mailing Address Postal Code: 115141077
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address Country Code If outside U S : US
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Business Mailing Address Telephone Number: 6464793871
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Practice Location Address: 8 CORNWALL LN APT 2T
Other name by which the organization provider is or has been known.
Provider Business Practice Location Address City Name: CARLE PLACE
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider Business Practice Location Address State Name: NY
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Practice Location Address Postal Code: 115141077
The city name in the mailing address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address Telephone Number: 6464793871
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Enumeration Date: 12/2/2011
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Last Update Date: 12/2/2011
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Authorized Official Last Name: DZHAFAROVA
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Authorized Official First Name: NARMINA
The city name in the location address of the provider being identified.
Authorized Official Middle Name: R
The State code in the location of the provider being identified.
Authorized Official Title or Position: OWNER
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Authorized Official Telephone Number: 6464793871
The country code in the location address of the provider being identified.
Healthcare Provider Taxonomy Code 1: 2084N0400X
The telephone number associated with the location address of the provider being identified.
Provider License Number 1: 251805
The date the provider was assigned a unique identifier (assigned an NPI).
Provider License Number State Code 1: NY
The date that a record was last updated or changed.
Healthcare Provider Primary Taxonomy Switch 1: Y
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Is Organization Subpart: N
The first name of the authorized official.
Authorized Official Name Prefix Text: DR.
The title or position of the authorized official.
Authorized Official Credential Text: M.D., D.O.
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.