Active NPI
Farid Moustofi, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1467680579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LP01791
- Practice address
- 15 Warren St.
New York, NY 10007 - Phone
- (212) 226-7666
- Fax
- (212) 202-7988
- NPI assigned
- Jun 26, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LP01791 | RI | Primary |
Addresses
Primary practice location
15 Warren St.
New York, NY 10007
Mailing address
11 Park Place
Suite 1200
New York, NY 10002
Phone (212) 226-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP01791 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tribeca Pediatrics | Pediatrics | Past | Accepting new patients |
| Tribeca Pediatrics, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- New York, NY
- NPI 1588635171
-
- Pediatrics Physician
- Jersey City, NJ
- NPI 1356000160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1467680579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARK PLACE",
"address_2": "SUITE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "212-226-7666",
"fax_number": "212-202-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WARREN ST.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10007",
"telephone_number": "212-226-7666",
"fax_number": "212-202-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTOFI",
"first_name": "FARID",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "LP01791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.