Individual provider Active NPI

Elizabeth Worley Farman-Farmaian, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1285668673
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
210289-1 Issued in NY
Practice address
1400 Pelham Pkwy S
Building 1, Room 808
Bronx, NY 10461-1138
Phone
(650) 714-9493
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C52168 CA
Pediatrics Physician 208000000X 210289-1 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Building 1, Room 808
Bronx, NY 10461-1138

Mailing address

1400 Pelham Pkwy S
Building 1, Room 808
Bronx, NY 10461-1138
Phone (650) 714-9493

Other identifiers 1

IdentifierTypeStateIssuer
00G521680MedicaidCA

Other names 1

  • Elizabeth Worley Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805001168 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456355700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52168CAMDPediatrics Physician
210289-1NYMDPediatrics Physician

Networks

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

Interoperability endpoints

  • Direct secure messaging: efarmanfarmaian840414@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1285668673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "BUILDING 1, ROOM 808",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "650-714-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "BUILDING 1, ROOM 808",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "650-714-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMAN-FARMAIAN",
        "first_name": "ELIZABETH",
        "middle_name": "WORLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C52168",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "210289-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G521680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WORLEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.