Organization Active NPI

Fariba Ghazizadeh MD and Jad Naser MD PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1407937873
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FARIBA GHAZIZADEH MD AND JAD NASER MD PA
Practice address
6635 Hillway Cir
Suite 400
Naples, FL 34112-8752
Phone
(239) 455-9550
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Fariba Ghazizadeh, M.D.
Title
President
Phone
(239) 455-9550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6635 Hillway Cir
Suite 400
Naples, FL 34112-8752

Mailing address

6635 Hillway Cir
Suite 400
Naples, FL 34112-8752

National Provider Directory

National Provider Directory

Locations

6635 Hillway Cir
#2589
Naples, FL 34112

6635 Hillway Cir
Ste 400
Naples, FL 34112
Phone (239) 455-9550

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1407937873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 HILLWAY CIR",
            "address_2": "SUITE 400",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 HILLWAY CIR",
            "address_2": "SUITE 400",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128752",
            "telephone_number": "239-455-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBA GHAZIZADEH MD AND JAD NASER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "GHAZIZADEH",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-455-9550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.