Active NPI
Fabliha Masnoon Anbar, DPM
- Foot Surgery Podiatrist
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N007151
- Practice address
- 806 E Main St
Riverhead, NY 11901-2563 - Phone
- (469) 879-9458
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | N007151 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N007151 | NY | Primary |
Addresses
Primary practice location
806 E Main St
Riverhead, NY 11901-2563
Mailing address
806 E Main St
Riverhead, NY 11901-2563
Phone (469) 879-9458
Other practice location 1
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (929) 253-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
806 E Main St
Riverhead, NY 11901-2563
Phone (469) 879-9458
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 22 |
| Removal or shaving of skin growth | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007151 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phase Two Podiatry PC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Pamela Trifaro, LCSW, PLLC | Past | Accepting new patients |
Locations
620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
301 Mill Rd
Ste U7
Hewlett, NY 11557
193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Hewlett, NY
- NPI 1821333063
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Clinical Social Worker
- Smithtown, NY
- NPI 1700331873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670630400000",
"number": "1144718974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012563",
"telephone_number": "469-879-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012563",
"telephone_number": "469-879-9458"
}
],
"practiceLocations": [
{
"address_1": "1300 Roanoke Ave",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012031",
"country_code": "US",
"telephone_number": "929-253-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANBAR",
"first_name": "FABLIHA",
"middle_name": "MASNOON",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2022-12-10",
"certification_date": "2022-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": "N007151",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N007151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.