Individual provider Active NPI

Farzana Nizami, M.D.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1467512657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
228233 Issued in NY
Practice address
8746 Chelsea St Apt LC
Jamaica, NY 11432-2400
Phone
(718) 657-7900
Fax
(718) 657-7902
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 228233 NY Primary

Addresses

Primary practice location

8746 Chelsea St Apt LC
Jamaica, NY 11432-2400

Mailing address

17810 Wexford Ter Apt 2C
Jamaica, NY 11432-3003
Phone (718) 291-0178

Other identifiers 1

IdentifierTypeStateIssuer
02458831MedicaidNY

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
I20040209000214 NY Practitioner - Internal Medicine 6800780297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17810 Wexford Ter
Apt 2C
Jamaica, NY 11432-3003

87 46 Chelsea St
Suite LC
Jamaica, NY 11432-2414
Phone (718) 657-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Medical Care Nyc PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECDCBA/Endpoint/ECDCBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467512657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 WEXFORD TER APT 2C",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323003",
            "telephone_number": "718-291-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8746 CHELSEA ST APT LC",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322400",
            "telephone_number": "718-657-7900",
            "fax_number": "718-657-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAMI",
        "first_name": "FARZANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.