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AMIR REZA RADJABI MEDICAL PLLC NPI 1639791155


NPI Information

NPI: 1639791155
Provider Name: AMIR REZA RADJABI MEDICAL PLLC

Doing Business As: NEW HERITAGE FERTILITY PLLC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D2284491

Address:
240 CENTRAL PARK S APT 1P
NEW YORK, NY
ZIP 10019
Phone: (212) 535-5350
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AMIR REZA RADJABI MEDICAL PLLC is an obstetrics gynecology in New York, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. AMIR REZA RADJABI MEDICAL PLLC NPI is 1639791155. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Heritage Fertility Pllc.

The provider's business location address is:

240 CENTRAL PARK S APT 1P
NEW YORK, NY
ZIP 10019-429
Phone: (212) 535-5350

The provider's authorized official is Amir Reza Radjabi .
The authorized official title is Medical Director and has the following contact phone number (917) 444-5444.

The CLIA number assigned to this NPI record is 33D2284491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 9/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
2207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14897536MEDICAIDNEW 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: 4/28/2024

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