Individual provider Active NPI

Joshua Andrew Farhadian, M.D.

  • MOHS-Micrographic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1184966012
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
292029 Issued in NY
Practice address
1000 Northern Blvd Ste 140
Great Neck, NY 11021-5312
Phone
(516) 846-3300
Fax
(516) 846-3305
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 56103 CT
MOHS-Micrographic Surgery Physician 207ND0101X 56103 CT
Procedural Dermatology Physician 207NS0135X 292029 NY
MOHS-Micrographic Surgery Physician 207ND0101X 292029 NY Primary

Addresses

Primary practice location

1000 Northern Blvd Ste 140
Great Neck, NY 11021-5312

Mailing address

1000 Northern Blvd Ste 140
Great Neck, NY 11021-5312
Phone (516) 846-3300

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180601000138 NY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4789981879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Mohs Surgery of Long Island, PLLCGroup PAC ID 1850783945, 2 clinicians

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 140
Great Neck, NY 11021-5312
Phone (347) 871-2335

Merit-based Incentive Payment System (MIPS)

Final score
86.82 of 100Reported as individual
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision82
Removal of tissue1-10
Removal of skin lesions1664
Removal of skin cancer750
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56103CTMDDermatology Physician
292029NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2017 Accepting new patients
Yale University Dermatology Current Accepting new patients
Dermatology & Mohs Surgery of Long Island, PLLC Dermatology CurrentSince Dec 7, 2021 Accepting new patients
Yale University CurrentSince Jul 1, 2017 Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

40 Temple St
Ste 5A
New Haven, CT 06510
Phone (203) 785-3466

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

40 Temple St
Ste 3A
New Haven, CT 06510
Phone (203) 785-2020

1000 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-2340

Interoperability endpoints

  • Direct secure messaging: jfarhadian@npderm.emadirect.md

Organizations & group practices 4

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": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1184966012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-846-3300",
            "fax_number": "516-846-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-846-3300",
            "fax_number": "516-846-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHADIAN",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "56103",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "56103",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "292029",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "292029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.