Mojdeh Faraz, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

100997 Issued in CA

Practice address

1400 Pelham Parkway South,
Jacobi Medical Center
Bronx, NY 10461

Phone

(718) 918-5000

NPI assigned

Oct 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mojdeh Faraz DDS Inc

  • Dentist
  • Freedom, CA
  • NPI 1083295943
  NPD Authorized official

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1235567488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CONTRA COSTA BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231514",
            "telephone_number": "831-728-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY SOUTH,",
            "address_2": "JACOBI MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAZ",
        "first_name": "MOJDEH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "100997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Elsayed Ali Farag, MD
• Jacqueline Farah
• Samer Farah, MD
• Christine Leigh Faranda, L.M.S.W.
• Bjarne Gerard Areza Faraon, MD
• Elvira Fardella-Roveto, FNP
• Caroline Farella
• Farfa Pharmacy Corp
• Vanessa Sofia Farfus Medina
• Kamal Farha, D.P.M.

• All providers in Bronx, NY
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.