Provider Demographics
NPI:1285855387
Name:JOHN M. ALJIAN, MD, PC
Entity type:Organization
Organization Name:JOHN M. ALJIAN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-969-6995
Mailing Address - Street 1:45 LUDLOW ST
Mailing Address - Street 2:STE 618
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1947
Mailing Address - Country:US
Mailing Address - Phone:914-969-6995
Mailing Address - Fax:914-969-2917
Practice Address - Street 1:45 LUDLOW ST
Practice Address - Street 2:STE 618
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1947
Practice Address - Country:US
Practice Address - Phone:914-969-6995
Practice Address - Fax:914-969-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190447207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0499977OtherGHI
5115587OtherAETNA
P706852OtherOXFORD HEALTH PLANS
NY01760663Medicaid
NY419A51OtherEMPIRE BLUE CROSS BLUE SH
NJ7339402Medicaid
2C7904OtherHEALTHNET
39948POtherHIP HELATH PLAN NY
NY68T803OtherEMPIRE BLUE CROSS BLUE SH
39948POtherHIP HELATH PLAN NY
=========OtherUNITED HEALTHCARE
39948POtherHIP HELATH PLAN NY
NJ7339402Medicaid
0499977OtherGHI