Active NPI
Behrouz Farahmandpour, D.O.
- Family Medicine Physician
- Deer Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 233446-1
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233446-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Medical Care PLLC | Family Medicine | Current | Accepting new patients |
| Quality Medical Fitness, PC | Current | Accepting new patients | |
| Sciometrix Inc | Current | Accepting new patients | |
| Heart and Health PLLC | Current | Accepting new patients | |
| Progressive Medical Fitness PC | Family Medicine | Current | Accepting new patients |
| Sciometrix LLC | Past | 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.
-
- Specialist
- North Babylon, NY
- NPI 1477725208
-
- Family Medicine Physician
- Deer Park, NY
- NPI 1063720910
-
- Family Medicine Physician
- Northport, NY
- NPI 1720608151
-
- Internal Medicine Physician
- Northport, NY
- NPI 1366816415
-
- General Practice Physician
- Staten Island, NY
- NPI 1457065591
-
- Multi-Specialty Clinic/Center
- Melville, NY
- NPI 1750797890
-
dba Academic Health Care Center
- Family Medicine Physician
- Old Westbury, NY
- NPI 1821048612
-
dba Family Health Care Center
- Family Medicine Physician
- Central Islip, NY
- NPI 1992738538
-
- General Practice Physician
- Royal Oak, MI
- NPI 1619649894
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
dba Tender Loving Care, an Amedisys Company
- Home Health Agency
- Medford, NY
- NPI 1699715961
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.