Individual provider Active NPI

Freidoon Behin, MD

  • Otolaryngology Physician
  • Jersey City, NJ
National Provider Identifier
1003911934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA30109 Issued in NJ
Practice address
142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133
Phone
(201) 659-4706
Fax
(201) 659-4707
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MA30109 NJ Primary

Addresses

Primary practice location

142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133

Mailing address

142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133
Phone (201) 659-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA30109NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fereidoon Behin MD PA Otolaryngology PastSince Jan 1, 1990 Accepting new patients
Bergen Hudson ENT LLC Otolaryngology PastSince Jul 5, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003911934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE # 207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-659-4706",
            "fax_number": "201-659-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE # 207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-659-4706",
            "fax_number": "201-659-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHIN",
        "first_name": "FREIDOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA30109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.