JONATHAN D VICTOR (NPI# 1316034481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316034481 |
| Entity Type | Individual |
| Full Name | JONATHAN D VICTOR |
| Credential | MD |
| Practice Address |
520 E 70th St # Starr-607 New York NY 10021-9800 |
| Practice Telephone | 2127462340 |
| Practice Fax Number | 2127468532 |
| Mailing Telephone | 2127460373 |
| Mailing Fax Number | 2127467481 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
146505 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
146505 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00983160 | 05 |
| Street Address |
520 E 70TH ST # STARR-607 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529341 | Lisa D Ravdin | Psychiatry & Neurology | 520 E 70th St # Starr-607, New York, NY 10021-9800 | 2006-10-09 |
| 1780771873 | Michael Rubin | Psychiatry & Neurology | 520 E 70th St # Starr-607, New York, NY 10021-9800 | 2006-10-09 |
| 1609963701 | John J Caronna | Psychiatry & Neurology | 520 E 70th St # Starr-607, New York, NY 10021-9800 | 2006-10-09 |
| 1477640563 | Cynthia L Harden | Psychiatry & Neurology | 520 E 70th St # Starr-607, New York, NY 10021-9800 | 2006-10-09 |
| 1679660765 | Sonia K. Sandhu | Psychiatry & Neurology | 520 E 70th St # Starr-607, New York, NY 10021-9800 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1457790404 | Svetlana Faktorovich | Psychiatry & Neurology | 130 E 77th St, New York, NY 10075 | 2013-06-21 |
| 1285998393 | Daniel C. Javitt | Psychiatry & Neurology | 1051 Riverside Dr, Unit 21, New York, NY 10032-1007 | 2012-07-03 |
| 1255635652 | Ling O. Cheng, M.d., P.C. | Psychiatry & Neurology | 198 Canal St, Suite 303, New York, NY 10013-4531 | 2010-12-29 |
| 1306169487 | Philippe Gerard Douyon | Psychiatry & Neurology | 462 1st Ave, Suite Nbv 7w11, New York, NY 10016-9196 | 2010-03-03 |
| Find all providers in NEW YORK | ||||
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| 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.