Individual provider Active NPI

Farzad Farzan-Kashani, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1447412481
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251844 Issued in NY
Practice address
287 Northern Blvd Ste 108
Great Neck, NY 11021-4717
Phone
(516) 359-5870
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251844 NY Primary

Addresses

Primary practice location

287 Northern Blvd Ste 108
Great Neck, NY 11021-4717

Mailing address

PO Box 220146
Great Neck, NY 11022-0146
Phone (516) 359-5870

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
I20101014001445 NY Practitioner - Internal Medicine 2769675388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 01
Forest Hills, NY 11375-2029
Phone (516) 500-1626

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 500-1626

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 500-1626

6511 Booth St
Apt 1C
Rego Park, NY 11374-4184
Phone (718) 806-1434

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Advanced Medical Care PLLC. Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
North Shore University Hospital Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

300 Community Dr
Plandome, NY 11030

Organizations & group practices 3

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.

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1447412481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220146",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110220146",
            "telephone_number": "516-359-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD STE 108",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214717",
            "telephone_number": "516-359-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAN-KASHANI",
        "first_name": "FARZAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.