Individual provider Active NPI

Osama Farid, PA

  • Medical Physician Assistant
  • Staten Island, NY
National Provider Identifier
1255467619
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1072558 Issued in NY
Practice address
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone
(718) 984-2100
Fax
(718) 317-6582
NPI assigned
Feb 27, 2007
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1072558 NY Primary

Addresses

Primary practice location

5091 Amboy Rd
Staten Island, NY 10312-4722

Mailing address

5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (718) 984-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ofarid111904@nyumc.direct-ci.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000374 NY Practitioner - Physician Assistant 6709980402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1072558NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 1, 2013 Accepting new patients
New York University CurrentSince Dec 1, 2013 Accepting new patients
Farid Medical Associates LLC Past Accepting new patients
St. Karas Medical Practice, LLC PastSince Sep 3, 2007 Accepting new patients

Locations

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ofarid60899@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1255467619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124722",
            "telephone_number": "718-984-2100",
            "fax_number": "718-317-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124722",
            "telephone_number": "718-984-2100",
            "fax_number": "718-317-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "OSAMA",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "1072558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ofarid111904@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "5091 Amboy Rd",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103124722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.