Organization Active NPI

Farah Dermatology and Cosmetics LLC

  • Dermatology Physician
  • Syracuse, NY
National Provider Identifier
1093738965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2172204 Issued in NY
Legal business name
FARAH DERMATOLOGY AND COSMETICS LLC
Practice address
1000 E Genesee St
Suite 601
Syracuse, NY 13210-1892
Phone
(315) 422-8331
Fax
(315) 422-3129
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ramsay Salim Farah, MDNPI 1770597858
Title
Dermatologist MD
Phone
(315) 422-4552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2172204 NY Primary

Addresses

Primary practice location

1000 E Genesee St
Suite 601
Syracuse, NY 13210-1892

Mailing address

1000 E Genesee St
Suite 601
Syracuse, NY 13210-1892
Phone (315) 422-8331

Other names 1

  • Farah Dermatology Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060822000282 NY Part B Supplier - Clinic/Group Practice 8921001538 Receives reassigned benefits from 2 practitioners
Practice locations: Watertown, NY; Syracuse, NY; Fulton, NY; Rome, NY; Camillus, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2024508Farah Dermatology & Cosmetics LLC1000 East Genesee Street Suite 601, Syracuse, NY 13210ComplianceFeb 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Farah Dermatology Cosmetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5415 W Genesee St
Ste 201
Camillus, NY 13031
Phone (315) 214-5788

5109 W Genesee St
Ste 1
Camillus, NY 13031
Phone (315) 422-8331

1000 E Genesee St
Ste 601
Syracuse, NY 13210
Phone (315) 422-8331

19316 US Route 11
Bldg 4
Watertown, NY 13601
Phone (315) 422-8331

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093738965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 601",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-422-8331",
            "fax_number": "315-422-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 601",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-422-8331",
            "fax_number": "315-422-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAH DERMATOLOGY AND COSMETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "RAMSAY",
        "authorized_official_middle_name": "SALIM",
        "authorized_official_title_or_position": "DERMATOLOGIST MD",
        "authorized_official_telephone_number": "315-422-4552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2172204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farah Dermatology Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.