NPIMap

Individual provider Active NPI

Victor Fariwa, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023028354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226668 Issued in NY
Practice address
2153 E 3Rd St
Brooklyn, NY 11223-4030
Phone
(718) 339-4607
Fax
(718) 339-3251
NPI assigned
Aug 9, 2006
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 226668 NY Primary

Addresses

Primary practice location

2153 E 3Rd St
Brooklyn, NY 11223-4030

Mailing address

2153 E 3Rd St
Brooklyn, NY 11223-4030
Phone (718) 339-4607

Other identifiers 1

IdentifierTypeStateIssuer
02351251MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100929000390 NJ Practitioner - Internal Medicine 8820114648 Practice locations: Deal, NJ
I20110830000014 NY Practitioner - Internal Medicine 8820114648 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2153 E 3Rd St
Brooklyn, NY 11223-4030
Phone (718) 339-9438

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as apm
Quality
80.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226668NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue U Medical Care PC Internal Medicine CurrentSince May 19, 2014 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

290 Norwood Ave
Ste 202
Deal, NJ 07723
Phone (718) 339-9438

Networks

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

Interoperability endpoints

  • Direct secure messaging: victorfariwa@mai.allscriptsdirect.net

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023028354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234030",
            "telephone_number": "718-339-4607",
            "fax_number": "718-339-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234030",
            "telephone_number": "718-339-4607",
            "fax_number": "718-339-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIWA",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.