Farage Moussa Nawlo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0474741 Issued in NY

Practice address

201 A Dyckman Street
New York, NY 10040

Phone

(212) 304-1728

Fax

(212) 304-3852

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184753774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 A DYCKMAN STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-304-1728",
            "fax_number": "212-304-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 A DYCKMAN STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-304-1728",
            "fax_number": "212-304-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWLO",
        "first_name": "FARAGE",
        "middle_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0474741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Anne Nawa, PA-C
• Danyal H Nawabi, M.D.
• Maria Nawar
• Nanziba Nawar
• Shoaib Nawaz
• Joseph Nawlo, O.D.
• Tanzina Nawrin, DO
• Joyce Joan Nawy, DC
• Gopi Kamlesh Nayak
• Komal Nayak, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.