DJAVAHERIAN MEDICAL PRACTICE, PLLC (NPI# 1902418700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902418700 |
| Entity Type | Organization |
| Organization Name | DJAVAHERIAN MEDICAL PRACTICE, PLLC |
| Practice Address |
90 Havemeyer St Brooklyn NY 11211-3340 |
| Mailing Address |
55 Pacific Ave # 101 San Francisco CA 94111-2009 |
| Practice Telephone | 4152002133 |
| Mailing Telephone | 4152002133 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | ANGELA MILES (HEAD OF REVENUE CYCLE) |
| Authorized Official Telephone | 7758134777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carbon Health Medical Group | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Liberty St Ste 227, New York, NY 102811048 | 4152002133 |
| Street Address |
90 HAVEMEYER ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1811539323 | Asjs Medical, Pllc | Clinic/Center | 1880 Prospect Pl, Brooklyn, NY 11233-4715 | 2019-10-16 |
| 1417517012 | City Medical of Upper East Side, Pllc | Clinic/Center | 1243 Fulton St, Brooklyn, NY 11216-2004 | 2019-06-17 |
| 1427546522 | City Medical of Upper East Side, Pllc | Clinic/Center | 5024 5th Ave, Brooklyn, NY 11220-1909 | 2018-04-25 |
| 1386132470 | City Medical of Upper East Side, Pllc | Clinic/Center | 712 Brighton Beach Ave, Brooklyn, NY 11235-6412 | 2018-04-25 |
| 1669905840 | City Medical of Upper East Side, Pllc | Clinic/Center | 135 Montague Street, Brooklyn, NY 11201 | 2017-04-05 |
| 1982057584 | Brooklyn Urgent Care of Marine Park Pllc | Clinic/Center | 144 E 98th St Ste B, Brooklyn, NY 11212-3808 | 2016-07-19 |
| 1134583099 | Fem Gyn Urgent Care Wellness Pllc | Clinic/Center | 175-7th Avenue, Brooklyn, NY 11215 | 2016-04-07 |
| 1649630682 | Brooklyn Urgent Care of Boro Park Pllc | Clinic/Center | 3909 13th Ave, Brooklyn, NY 11218-3605 | 2016-03-03 |
| Find all providers in BROOKLYN | ||||
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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.