Individual provider Active NPI

Fabliha Masnoon Anbar, DPM

  • Foot Surgery Podiatrist
  • Riverhead, NY
National Provider Identifier
1144718974
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N007151 Issued in NY
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

Updated by the provider on Dec 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713000064 NY Practitioner - Podiatry 7719221381 Reassigns benefits to 2 organizations
Practice locations: Riverhead, NY; Utica, NY

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

ProcedureNumber of procedures
Removal of nail tissue22
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007151NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phase Two Podiatry PC CurrentSince Aug 1, 2021 Accepting new patients
Medical Director Services PC CurrentSince Jun 5, 2021 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.

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

Verify at the official NPI Registry.