NPIMap

Organization Active NPI

Jeffrey Farkas MD LLC

Doing business as Interventional Neuro Associates

  • Vascular & Interventional Radiology Physician
  • East Hills, NY
National Provider Identifier
1114267929
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
192230 Issued in NY
Legal business name
JEFFREY FARKAS MD LLC
Doing business as
Interventional Neuro Associates
Practice address
2200 Northern Blvd
Suite 207
East Hills, NY 11548-1220
Phone
(516) 466-1029
Fax
(201) 351-4065
NPI assigned
Feb 15, 2013
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Dr. Jeffrey Farkas, MDNPI 1942315163
Title
President
Phone
(201) 387-1957

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
Vascular & Interventional Radiology Physician 2085R0204X 192230 NY Primary

Addresses

Primary practice location

2200 Northern Blvd
Suite 207
East Hills, NY 11548-1220

Mailing address

43 Westminster Ave
Bergenfield, NJ 07621-3913
Phone (201) 387-1957

Other identifiers 1

IdentifierTypeStateIssuer
03563191MedicaidNY

Other names 1

  • Interventional Neuro Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130430000384 NY Part B Supplier - Clinic/Group Practice 3476790973 Receives reassigned benefits from 12 practitioners
Practice locations: Greenvale, NY; Brooklyn, NY
O20161017001404 NJ Part B Supplier - Clinic/Group Practice 3476790973 Receives reassigned benefits from 15 practitioners
Practice locations: Teaneck, NJ; Secaucus, NJ; Paterson, NJ; Passaic, NJ; Newark, NJ; Livingston, NJ; Jersey City, NJ; Bayonne, NJ…

National Provider Directory

National Provider Directory

Locations

777 Terrace Ave
Ste 401
Hasbrouck Heights, NJ 07604

2200 Northern Blvd
Ste 207
Greenvale, NY 11548
Phone (516) 466-1029

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 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1114267929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WESTMINSTER AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213913",
            "telephone_number": "201-387-1957",
            "fax_number": "201-351-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD",
            "address_2": "SUITE 207",
            "city": "EAST HILLS",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-466-1029",
            "fax_number": "201-351-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY FARKAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "FARKAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-387-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "192230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03563191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Neuro Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.