Farshad David Hannanian M D P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

213283 Issued in NY

Legal business name

FARSHAD DAVID HANNANIAN M D P C

Practice address

475 Northern Blvd
Suite 18
Great Neck, NY 11021-4802

Phone

(516) 773-3048

Fax

(516) 304-5011

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Farshad D HannanianNPI 1902840119

Title

Credentialing

Phone

(516) 773-3048

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farshad David Hannanian, M.D.

  • Neurology Physician
  • Great Neck, NY
  • NPI 1902840119
  Medicare reassignment NPD Authorized official
• Arthur Eisen, MD

  • Psychiatry Physician
  • Great Neck, NY
  • NPI 1083791214
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1235300096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "SUITE 18",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-773-3048",
            "fax_number": "516-304-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "SUITE 18",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-773-3048",
            "fax_number": "516-304-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHAD DAVID HANNANIAN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "HANNANIAN",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "516-773-3048"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "213283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01986709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abe Fard, RPH
• Joshua Andrew Farhadian, M.D.
• Arezo Farokhpour
• Olga Farole, NP
• Robert Alfred Farrell, PH.D.
• Tasnim Faruque
• Farzad Farzan-Kashani, MD
• Sherry Farzan, M.D.
• Misagh Fasazadeh
• David M Fastenberg, MD

• Specialist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.