Active NPI
Faiz O Alzoobaee, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1437233152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 223071
- Practice address
- 6805 5TH Ave
Brooklyn, NY 11220-6009 - Phone
- (718) 833-7466
- Fax
- (718) 745-7442
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223071 | NY | Primary |
Addresses
Primary practice location
6805 5TH Ave
Brooklyn, NY 11220-6009
Mailing address
6805 5TH Ave
Brooklyn, NY 11220-6009
Phone (718) 833-7466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9C859 | Other | NY | BLUE CROSS BLUE SHIELD |
| 02202220 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170728000337 | NY | Order and Referring Only - Pediatric Medicine | 0547530206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223071-1 | NY | MD | Licensed Practical Nurse |
| 223071 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- falzoobaee130462@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1437233152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112206009",
"telephone_number": "718-833-7466",
"fax_number": "718-745-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112206009",
"telephone_number": "718-833-7466",
"fax_number": "718-745-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZOOBAEE",
"first_name": "FAIZ",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "223071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9C859",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02202220",
"state": "NY"
}
],
"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 Aug 31, 2011; 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.