J. R. UDARBE MD P.C. NPI 1336397686

NPI Information

NPI: 1336397686
Provider Name: J. R. UDARBE MD P.C.
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 1010 NORTHERN BLVD
SUITE 208
GREAT NECK, NY
ZIP 11021
Phone: (516) 336-2560

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NPI Details

J. R. UDARBE MD P.C. is an adult mental health clinic center in Great Neck, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. J. R. UDARBE MD P.C. NPI is 1336397686. The provider is registered as an organization entity type.

The provider's business location address is:

1010 NORTHERN BLVD
SUITE 208
GREAT NECK, NY
ZIP 11021-306
Phone: (516) 336-2560
Fax: (516) 336-2561

The provider's authorized official is John Robert Udarbe .
The authorized official title is Attending Physician and has the following contact phone number (516) 336-2560.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	208198	NEW YORK	No
2	261QM0850X	Clinic/Center	Adult Mental Health	208198	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G78238	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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