OMID NIKROUZ MD PC


Address: 19 East 80th St, 1e, New York, NY 11075
Phone: 2019279825

OMID NIKROUZ MD PC (NPI# 1225449440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225449440
Entity Type Organization
Organization Name OMID NIKROUZ MD PC
Practice Address 19 East 80th St
1e
New York
NY 11075
Mailing Address 390 Burnet Place
Paramus
NJ 07652
Practice Telephone 2019279825
Enumeration Date 2014-05-09
Last Update Date 2014-05-09
Authorized Official Name OMID NIKROUZ (OWNER)
Authorized Official Telephone 2019273825
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 19 EAST 80TH ST
1E
City NEW YORK
State NY
Zip Code 11075

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 11075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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