Individual provider Active NPI

Behrouz Farahmandpour, D.O.

  • Family Medicine Physician
  • Deer Park, NY
National Provider Identifier
1447246756
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233446-1 Issued in NY
Practice address
375 Commack Rd Unit a
Deer Park, NY 11729-5522
Phone
(631) 940-0409
Fax
(631) 940-1834
NPI assigned
Sep 22, 2005
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 233446-1 NY Primary

Addresses

Primary practice location

375 Commack Rd Unit a
Deer Park, NY 11729-5522

Mailing address

375 Commack Rd Unit a
Deer Park, NY 11729-5522
Phone (631) 940-0409

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000132 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4981634516 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Heart and Health PLLCGroup PAC ID 1557434131, 18 clinicians
Progressive Medical Fitness PCGroup PAC ID 3476974486, 4 clinicians
Quality Medical Fitness PCGroup PAC ID 8325337744, 3 clinicians

Practice addresses (Care Compare)

1060 Broadway
Suite 100
Menands, NY 12204-2507
Phone (248) 369-3315

1070 Old Country Rd
Plainview, NY 11803-4918
Phone (516) 364-8600

1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone (631) 482-1355

25 Melville Park Rd
Melville, NY 11747-3175
Phone (631) 888-5957

3650 Route 112
Coram, NY 11727-4131
Phone (631) 345-6670

375 Commack Rd a
Deer Park, NY 11729-5522
Phone (931) 940-0409

389 Fort Salonga Rd
Suite 2
Northport, NY 11768-3089
Phone (631) 201-2474

6175 Sunrise Hwy
Massapequa, NY 11758-5341
Phone (516) 804-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
233446-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Care PLLC Family Medicine CurrentSince Aug 16, 2010 Accepting new patients
Quality Medical Fitness, PC CurrentSince Jun 15, 2016 Accepting new patients
Sciometrix Inc CurrentSince Apr 1, 2024 Accepting new patients
Heart and Health PLLC CurrentSince Jun 21, 2011 Accepting new patients
Progressive Medical Fitness PC Family Medicine CurrentSince Apr 20, 2020 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
New York Institute of Technology Family Medicine Past Accepting new patients
New York Institute of Technology Family Medicine Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

3650 Route 112
Coram, NY 11727
Phone (631) 320-3200

375 Commack Rd
Unit A
Deer Park, NY 11729
Phone (631) 940-0409

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

389 Fort Salonga Rd
Ste 2
Northport, NY 11768
Phone (631) 201-2474

389 Fort Salonga Rd
Ste 3
Northport, NY 11768
Phone (631) 201-2474

1070 Old Country Rd
Plainview, NY 11803
Phone (516) 364-8600

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1447246756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD UNIT A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295522",
            "telephone_number": "631-940-0409",
            "fax_number": "631-940-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD UNIT A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295522",
            "telephone_number": "631-940-0409",
            "fax_number": "631-940-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHMANDPOUR",
        "first_name": "BEHROUZ",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233446-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.