Organization Active NPI

Eduardo Farcon, M.D., P.C.

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1063685402
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
121472 Issued in NY
Legal business name
EDUARDO FARCON, M.D., P.C.
Practice address
530 1St Ave
Suite 3D
New York, NY 10016-6402
Phone
(212) 263-7018
Fax
(212) 263-7011
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Eduardo Farcon, M.D.
Title
President
Phone
(212) 263-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 121472 NY Primary

Addresses

Primary practice location

530 1St Ave
Suite 3D
New York, NY 10016-6402

Mailing address

530 1St Ave
Suite 3D
New York, NY 10016-6402
Phone (212) 263-7018

Other identifiers 1

IdentifierTypeStateIssuer
00227812MedicaidNY

National Provider Directory

National Provider Directory

Locations

530 1st Ave
Ste 3D
New York, NY 10016
Phone (212) 263-7071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1063685402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7018",
            "fax_number": "212-263-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7018",
            "fax_number": "212-263-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO FARCON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "FARCON",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-263-7018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "121472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00227812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.