Individual provider Active NPI

Faraj Gadee, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013026277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218041 Issued in NY
Practice address
1503 Gravesend Neck Rd
Brooklyn, NY 11229-4428
Phone
(718) 259-9700
Fax
(718) 382-6319
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 218041 NY Primary

Addresses

Primary practice location

1503 Gravesend Neck Rd
Brooklyn, NY 11229-4428

Mailing address

1310 Avenue R Apt 2H
Brooklyn, NY 11229-2843
Phone (718) 336-6687

Other identifiers 1

IdentifierTypeStateIssuer
02088053MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000697 NY Practitioner - Internal Medicine 3779683347 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218041NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Park Slope Cardiology PC Past Accepting new patients
Y&S Medical Associates PLLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: faraj.gadee@iclhcc.eclinicaldirectplus.com
  • Direct secure messaging: farajgadee@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIFAA/Endpoint/AJIFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHFIAD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013026277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 AVENUE R APT 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292843",
            "telephone_number": "718-336-6687",
            "fax_number": "718-336-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294428",
            "telephone_number": "718-259-9700",
            "fax_number": "718-382-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEE",
        "first_name": "FARAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.