Individual provider Active NPI

Farbod Nabizadeh, MD

  • Obstetrics & Gynecology Physician
  • Bangor, ME
National Provider Identifier
1033470414
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD20415 Issued in ME
Practice address
12 Stillwater Ave
Unit 1
Bangor, ME 04401-3984
Phone
(207) 945-6588
NPI assigned
Jun 2, 2012
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD20415 ME Primary

Addresses

Primary practice location

12 Stillwater Ave
Unit 1
Bangor, ME 04401-3984

Mailing address

1 Chelsea Ave
Apt 412
Long Branch, NJ 07740-8109
Phone (347) 721-5147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190905000543 NJ Practitioner - Obstetrics/Gynecology 4284947524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (800) 967-2289

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jun 11, 2021 Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

200 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 741-3331

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1033470414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHELSEA AVE",
            "address_2": "APT 412",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408109",
            "telephone_number": "347-721-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "address_2": "UNIT 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-945-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIZADEH",
        "first_name": "FARBOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-02",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD20415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.