NPIMap

Organization Active NPI

Faculty Dermatology, PC

  • Procedural Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1063717338
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
113002 Issued in NY
Legal business name
FACULTY DERMATOLOGY, PC
Practice address
6903 4TH Ave
Brooklyn, NY 11209-1509
Phone
(718) 238-6161
Fax
(718) 238-6194
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Bijan Safai, M.D.NPI 1407964265
Title
Director
Phone
(212) 988-8918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 113002 NY Primary

Addresses

Primary practice location

6903 4TH Ave
Brooklyn, NY 11209-1509

Mailing address

340 E 64TH St
New York, NY 10065-7503
Phone (212) 988-8918

National Provider Directory

National Provider Directory

Locations

340 E 64th St
Ste 2
New York, NY 10065

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1063717338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657503",
            "telephone_number": "212-988-8918",
            "fax_number": "212-744-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-238-6161",
            "fax_number": "718-238-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SAFAI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-988-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "113002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.