Active NPIIndividual providerSole proprietor

Zia Ghavami, MD

Pediatrics in Ridgewood, New Jersey

NPI Number1033154570
Practice location
119 Prospect St, Ridgewood, NJ 07450-4405
Fax
—
Last updated
April 23, 2012

Zia Ghavami is a Pediatrics based in Ridgewood, NJ. Zia Ghavami practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Zia Ghavami is 1033154570 and holds a License No. 25ma04003700 (NJ). The current practice location address for Zia Ghavami is 119 Prospect St, Ridgewood, NJ 07450-4405 and can be reached out via phone at 201-445-1212.

Provider Profile Details

NPI Number
1033154570
Provider Name
Zia Ghavami
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
119 Prospect St, Ridgewood, NJ 07450-4405
Phone Number
201-445-1212
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2006
Last Update Date
April 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Prospect St
Ridgewood, NJ 07450-4405
Zip
07450-4405
Phone Number
201-445-1212
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
119 Prospect St
Ridgewood, NJ 07450-4405
City
Ridgewood
State
NJ
Zip
07450-4405
Phone Number
201-445-1212

License Information

License Number (1)
25ma04003700
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
145846
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Zia Ghavami, MD?

The NPI number of Zia Ghavami, MD is 1033154570. It was assigned on June 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Zia Ghavami, MD?

Zia Ghavami, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25ma04003700.

Where does Zia Ghavami, MD practice?

The practice location is 119 Prospect St, Ridgewood, NJ 07450-4405. The office can be reached at 201-445-1212 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033154570 directly on the NPPES registry website.

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