Active NPI
Farah Hakim
- Physician Assistant
- Westborough, MA
National Provider Identifier
1356798227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5654
- Practice address
- 290 Turnpike Rd
Ste 150-414
Westborough, MA 01581-2843 - Phone
- (774) 535-9641
- Fax
- (617) 716-5572
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5654 | MA | Primary |
Addresses
Primary practice location
290 Turnpike Rd
Ste 150-414
Westborough, MA 01581-2843
Mailing address
Eastern Medical Associates, LLC
Suite 150-414
Westborough, MA 01581
Phone (774) 535-9641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5654 | MA | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1487803052
-
- Multi-Specialty Clinic/Center
- Westborough, MA
- NPI 1902320807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1356798227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EASTERN MEDICAL ASSOCIATES, LLC",
"address_2": "SUITE 150-414",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01581",
"telephone_number": "774-535-9641",
"fax_number": "617-716-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 TURNPIKE RD",
"address_2": "STE 150-414",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812843",
"telephone_number": "774-535-9641",
"fax_number": "617-716-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "FARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.