Individual provider Active NPI

Alan Farb, MD

  • Pediatrics Physician
  • New Britain, CT
National Provider Identifier
1013939867
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
034089 Issued in CT
Practice address
1 Washington SQ
New Britain, CT 06051-1848
Phone
(860) 224-3642
Fax
(860) 224-2760
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 034089 CT Primary

Addresses

Primary practice location

1 Washington SQ
New Britain, CT 06051-1848

Mailing address

635 Main St
Attn: Credentialing DPT
Middletown, CT 06457-2718
Phone (860) 347-6971

Other identifiers 1

IdentifierTypeStateIssuer
0034089MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070920000057 CT Practitioner - Pediatric Medicine 1658465737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034089CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Pediatrics Current Accepting new patients
Community Health Center Inc CurrentSince Apr 12, 2024 Accepting new patients
Community Health Center Inc. Pediatrics Past Accepting new patients

Locations

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

1 Washington Sq
New Britain, CT 06051
Phone (860) 224-3642

85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642

Interoperability endpoints

  • Direct secure messaging: alan.farb@chcict.eclinicaldirectplus.com

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1013939867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAIN ST",
            "address_2": "ATTN: CREDENTIALING DPT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572718",
            "telephone_number": "860-347-6971",
            "fax_number": "860-638-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511848",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARB",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "034089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034089",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.