Maryam Farooq

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

OS019656 Issued in PA

Practice address

605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501

Phone

(215) 643-2119

Fax

(215) 643-3568

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: ms_mfaroo32@landmarkhealth-direct.org

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1023490448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901225",
            "telephone_number": "215-481-4143",
            "fax_number": "215-481-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BETHLEHEM PIKE",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022501",
            "telephone_number": "215-643-2119",
            "fax_number": "215-643-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "MARYAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019656",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS019656",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS019656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny P Dunlap, RN
• Nancy D Dusing, OTR
• Michelle Ecker, M.D.
• Samir Fahim Eldaief, M.D, FACS
• Danielle Epler, PSYD
• Ryan Fay
• Deidre W Gallo, MS, CCC-SLP
• Maria Gardell, L.S.W.
• Erika Gardus, FNP-C
• Ann Patricia Garrison, R.D.

• Hospitalist Physician in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.