Organization Active NPI

Farah Dermatology & Cosmetics LLC

  • Dermatology Physician
  • Fulton, NY
National Provider Identifier
1447448758
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
217220-1 Issued in NY
Legal business name
FARAH DERMATOLOGY & COSMETICS LLC
Practice address
120 Cayuga St
Suite a
Fulton, NY 13069-1742
Phone
(315) 593-2730
Fax
(315) 422-3129
NPI assigned
Oct 11, 2007
Organization subpart
Yes
Parent organization
FARAH DERMATOLOGY & COSMETICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Joyce B Farah, MDNPI 1669699336
Title
Medical Doctor
Phone
(315) 593-2730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 225658-1 NY
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 132825-1 NY
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 217220-1 NY Primary

Addresses

Primary practice location

120 Cayuga St
Suite a
Fulton, NY 13069-1742

Mailing address

120 Cayuga St
Suite a
Fulton, NY 13069-1742
Phone (315) 593-2730

Other identifiers 3

IdentifierTypeStateIssuer
1770597858OtherNYNPI DR RAMSAY FARAH
1669486734OtherNYNPI DR FUAD FARAH
1669699336OtherNYNPI DR JOYCE FARAH 1669699336

National Provider Directory

National Provider Directory
Tax ID family
Farah Dermatology Cosmetics LLC2 organizations share this tax ID, including this one
Part of
Farah Dermatology Cosmetics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Cayuga St
Ste A
Fulton, NY 13069
Phone (315) 422-8331

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1447448758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAYUGA ST",
            "address_2": "SUITE A",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691742",
            "telephone_number": "315-593-2730",
            "fax_number": "315-422-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAYUGA ST",
            "address_2": "SUITE A",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691742",
            "telephone_number": "315-593-2730",
            "fax_number": "315-422-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAH DERMATOLOGY & COSMETICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARAH DERMATOLOGY & COSMETICS LLC",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "315-593-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "225658-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "132825-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "217220-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR RAMSAY FARAH",
            "identifier": "1770597858",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR FUAD FARAH",
            "identifier": "1669486734",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR JOYCE FARAH 1669699336",
            "identifier": "1669699336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.