NPIMap

Organization Active NPI

Intermed Medical Ny PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1316308406
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251936 Issued in NY
Legal business name
INTERMED MEDICAL NY PC
Practice address
2329 Nostrand Ave Ste 600
Brooklyn, NY 11210-3948
Phone
(718) 633-2455
NPI assigned
Mar 16, 2016
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Farzad Haghighi, MDNPI 1518106764
Title
MD
Phone
(929) 289-0597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251936 NY Primary
Nuclear Cardiology Physician 207UN0901X NU

Addresses

Primary practice location

2329 Nostrand Ave Ste 600
Brooklyn, NY 11210-3948

Mailing address

236 Broadway
Suite 211
Brooklyn, NY 11211-8414
Phone (718) 633-2455

Other practice location 1

10201 66th Rd
Forest Hills, NY 11375-2029
Phone (718) 633-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509001261 NY Part B Supplier - Clinic/Group Practice 6204135569 Receives reassigned benefits from 9 practitioners
Practice locations: New York, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2329 Nostrand Ave
Ste 600
Brooklyn, NY 11210
Phone 7186332455107

236 Broadway
Ste 211
Brooklyn, NY 11211

131 W 35th St
Ste 700
New York, NY 10001
Phone 21247580661137

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1316308406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BROADWAY",
            "address_2": "SUITE 211",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118414",
            "telephone_number": "718-633-2455",
            "fax_number": "718-633-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 NOSTRAND AVE STE 600",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103948",
            "telephone_number": "718-633-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 66th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "718-633-2455",
            "fax_number": "718-633-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERMED MEDICAL NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "929-289-0597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251936",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.