Organization Active NPI

Guy Farber MD PLLC

  • Psychiatry Physician
  • Great Neck, NY
National Provider Identifier
1336653104
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
229680 Issued in NY
Legal business name
GUY FARBER MD PLLC
Practice address
295 Northern Blvd Ste 212
Great Neck, NY 11021-4701
Phone
(516) 714-5098
Fax
(516) 714-5096
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Dr. Guy A Farber, MD
Title
Owner
Phone
(516) 714-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 229680 NY Primary

Addresses

Primary practice location

295 Northern Blvd Ste 212
Great Neck, NY 11021-4701

Mailing address

14439 75TH Rd FL 3
Flushing, NY 11367-2416
Phone (516) 714-5098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180209000056 NY Part B Supplier - Clinic/Group Practice 3072873116 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

295 Northern Blvd
Ste 212
Great Neck, NY 11021
Phone (516) 714-5098

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1336653104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 75TH RD FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672416",
            "telephone_number": "516-714-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NORTHERN BLVD STE 212",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214701",
            "telephone_number": "516-714-5098",
            "fax_number": "516-714-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY FARBER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-714-5098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "229680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.