Individual provider Active NPI

Farhana Iqbal, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1467848341
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
300390-01 Issued in NY
Practice address
355 Bard Avenue
Department of Medicine, Villa BLDG, 1St Floor
Staten Island, NY 10310
Phone
(718) 818-2419
NPI assigned
Apr 8, 2015
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 300390-01 NY Primary

Addresses

Primary practice location

355 Bard Avenue
Department of Medicine, Villa BLDG, 1St Floor
Staten Island, NY 10310

Mailing address

355 Bard Ave
Department of Medicine, Villa BLDG, 1St Floor
Staten Island, NY 10310-1664
Phone (718) 818-2419

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
I20200701001742 NY Practitioner - Internal Medicine 6204260599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center Maimonides Primary Care FPPGroup PAC ID 5991696916, 32 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300390-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Single Specialty CurrentSince Jul 23, 2024 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Single Specialty CurrentSince Jun 26, 2020 Accepting new patients
Maimonides Faculty Practice Plan Single Specialty CurrentSince Jun 26, 2020 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Mar 31, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Newburgh Physician Services PC Single Specialty CurrentSince Apr 7, 2020 Accepting new patients
Mount Sinai School of Medicine Single Specialty Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Jul 23, 2024 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Mar 31, 2024 Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

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

Interoperability endpoints

  • Direct secure messaging: farhanaiqbal@mai.allscriptsdirect.net
  • Direct secure messaging: fiqbal275430@ahs.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1467848341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "DEPARTMENT OF MEDICINE, VILLA BLDG, 1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVENUE",
            "address_2": "DEPARTMENT OF MEDICINE, VILLA BLDG, 1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-818-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "FARHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "300390-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.