Fareed Nabiel Fareed, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

231495 Issued in NY

Practice address

622 W 168TH St
PH 1-137 Associates in Emergency Services Clinic
New York, NY 10032-3784

Phone

(212) 305-2995

Fax

(212) 305-6792

NPI assigned

Jul 9, 2006

Reactivated

Dec 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Haddon Emergency Physicians LLC

  • Emergency Medicine Physician
  • Camden, NJ
  • NPI 1558312785
  NPD (past) Authorized official
• Trustees of Columbia University in the City of New York

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1073524369
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1013940204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH 1-137 ASSOCIATES IN EMERGENCY SERVICES CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323784",
            "telephone_number": "212-305-2995",
            "fax_number": "212-305-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH 1-137 ASSOCIATES IN EMERGENCY SERVICES CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323784",
            "telephone_number": "212-305-2995",
            "fax_number": "212-305-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREED",
        "first_name": "FAREED",
        "middle_name": "NABIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-12-13",
        "deactivation_date": "2006-07-19",
        "reactivation_date": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "231495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02667738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Farbman, PH.D.
• Cherilyn Siy Farcon, P.T.
• Eduardo M Farcon, MD
• Jean-Pierre Claude Farcy, M.D.
• Ali K Fard, M.D
• Kiran Fareed
• Jasmin Fares, PA-C
• Sosana Fares
• Victoria Elise Fares, MSW
• Luis E Farfan, NP

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.