Provider Demographics
NPI:1417938119
Name:NEJAT, MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:
Last Name:NEJAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E 36TH ST
Mailing Address - Street 2:GROUND LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3465
Mailing Address - Country:US
Mailing Address - Phone:212-686-6321
Mailing Address - Fax:212-214-0831
Practice Address - Street 1:116 E 36TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3402
Practice Address - Country:US
Practice Address - Phone:212-686-6321
Practice Address - Fax:212-214-0831
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195509207K00000X
NJ25MA06007900207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01648508Medicaid
NY01648508Medicaid
NY01648508Medicaid
NYF99799Medicare UPIN