Individual provider Active NPI

Farzana Matin

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1295979698
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258280 Issued in NY
Practice address
234 E 149 Street
8-20
Bronx, NY 10451
Phone
(718) 579-5874
Fax
(718) 579-4836
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Internal Medicine Physician 207R00000X 258280 NY Primary

Addresses

Primary practice location

234 E 149 Street
8-20
Bronx, NY 10451

Mailing address

35-50, 75 TH Street Apt-1D
Jackson Heights, NY 11372
Phone (917) 405-1517

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
I20111024000400 NY Practitioner - HospitalistPractitioner - Critical Care (Intensivists)Practitioner - Geriatric Medicine 1658544408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

15 Hilton Ave
Garden City, NY 11530-4400
Phone (516) 417-8366

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5024

Hospital & facility affiliations

  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Highfield Gardens Care Center of Great Neck Nursing home, Great Neck, NY, CCN 335250
  • Townhouse Center for Rehabilitation & Nursing Nursing home, Uniondale, NY, CCN 335798
  • North Shore - LIJ Orzac Center For Rehabilitation Nursing home, Valley Stream, NY, CCN 335700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Oct 16, 2014 Accepting new patients
Farzana Matin, M.D., P.C. Internal Medicine CurrentSince Dec 30, 2017 Accepting new patients
Care Medical Services PC Internal Medicine CurrentSince Jul 8, 2023 Accepting new patients
Wedgewood Care Center Inc Past Accepting new patients
Long Island Jewish Medical Center General Acute Care Hospital Past Accepting new patients
Long Island Jewish Medical Center General Acute Care Hospital Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Townhouse Operating Company LLC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

26019 Nassau Blvd
Little Neck, NY 11362
Phone (516) 488-2880

300 Community Dr
Plandome, NY 11030

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Networks

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

Interoperability endpoints

  • Direct secure messaging: fmatin308216@nyumc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1295979698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-50, 75 TH STREET APT-1D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "917-405-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149 STREET",
            "address_2": "8-20",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-579-5874",
            "fax_number": "718-579-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "FARZANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.