Basic Information
Provider Information
NPI: 1003139932
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJOVITS
FirstName: ANDREW
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 GRAND ST FL 3
Address2:  
City: WARWICK
State: NY
PostalCode: 109901035
CountryCode: US
TelephoneNumber: 8459873906
FaxNumber: 8459875979
Practice Location
Address1: 257 LAFAYETTE AVE
Address2: SUITE 300
City: SUFFERN
State: NY
PostalCode: 109014830
CountryCode: US
TelephoneNumber: 8453680330
FaxNumber: 8453688143
Other Information
ProviderEnumerationDate: 03/06/2010
LastUpdateDate: 01/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X238061NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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