Organization Active NPI

Farajollah Motahedeh MD PC

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1093011397
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
115284 Issued in NY
Legal business name
FARAJOLLAH MOTAHEDEH MD PC
Practice address
3302 Avenue N
Brooklyn, NY 11234
Phone
(718) 252-4466
Fax
(718) 258-1558
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Farajollah Motahedeh, MD, PC
Title
MD
Phone
(718) 252-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 115284 NY Primary

Addresses

Primary practice location

3302 Avenue N
Brooklyn, NY 11234

Mailing address

3302 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4466

National Provider Directory

National Provider Directory

Locations

3302 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4466

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1093011397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-252-4466",
            "fax_number": "718-258-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-252-4466",
            "fax_number": "718-258-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAJOLLAH MOTAHEDEH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MOTAHEDEH",
        "authorized_official_first_name": "FARAJOLLAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-252-4466",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "115284",
            "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 Oct 30, 2014; 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.