Individual provider Active NPI

Davood Farhangian, MD

  • General Practice Physician
  • Flushing, NY
National Provider Identifier
1255329017
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
112152 Issued in NY
Practice address
2555 Parsons Blvd
Flushing, NY 11354-1248
Phone
(718) 445-5352
Fax
(718) 762-3933
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 112152 NY
General Practice Physician 208D00000X 112152 NY Primary

Addresses

Primary practice location

2555 Parsons Blvd
Flushing, NY 11354-1248

Mailing address

2555 Parsons Blvd
Flushing, NY 11354-1248
Phone (718) 445-5352

Other identifiers 1

IdentifierTypeStateIssuer
00202704MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
112152NYMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255329017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541248",
            "telephone_number": "718-445-5352",
            "fax_number": "718-762-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541248",
            "telephone_number": "718-445-5352",
            "fax_number": "718-762-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHANGIAN",
        "first_name": "DAVOOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "112152",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "112152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.