Individual provider Active NPI

Farinaz Bakraei

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1194958306
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001311-1 Issued in NY
Practice address
61 Marine Ave
Brooklyn, NY 11209-6701
Phone
(718) 836-6532
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001311-1 NY Primary

Addresses

Primary practice location

61 Marine Ave
Brooklyn, NY 11209-6701

Mailing address

61 Marine Ave
Brooklyn, NY 11209-6701
Phone (718) 836-6532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001311NYMDCounselor
F001311-1NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Russell MD PC PastSince May 26, 2006 Accepting new patients

Organizations & group practices 1

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1194958306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MARINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096701",
            "telephone_number": "718-836-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MARINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096701",
            "telephone_number": "718-836-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKRAEI",
        "first_name": "FARINAZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001311-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.