Individual provider Active NPI

Bilal Farooqi, MD

  • Hematology & Oncology Physician
  • Suffern, NY
National Provider Identifier
1467891333
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
331055 Issued in NY
Practice address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone
(845) 368-8500
Fax
(845) 368-8460
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 331055 NY Primary
Internal Medicine Physician 207R00000X 74189 GA
Hematology & Oncology Physician 207RH0003X ME139993 FL
Hematology & Oncology Physician 207RH0003X 25MA11220000 NJ

Addresses

Primary practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Mailing address

20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906

Other practice location 1

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 312-4300

Other practice location 2

4114 Woodlands Pkwy Ste 301
Palm Harbor, FL 34685-3450
Phone (727) 344-6569

Other practice location 3

5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6569

Other practice location 4

1258 W Bay Dr Ste G
Largo, FL 33770-2245
Phone (727) 344-6569

Other practice location 5

3000 US Highway 19
Holiday, FL 34691-2635
Phone (727) 344-6569

Other practice location 6

603 7th St S Ste 560
St Petersburg, FL 33701-4732
Phone (727) 820-7714

Other practice location 7

425 S Parsons Ave Ste 101
Brandon, FL 33511-5290
Phone (813) 278-5062

Other practice location 8

6555 Cortez Rd W
Bradenton, FL 34210-2608
Phone (727) 344-6569

Other practice location 9

3501 Cortez Rd W
Bradenton, FL 34210-3196
Phone (727) 344-6569

Other practice location 10

401 Vonderburg Dr
Brandon, FL 33511-5963
Phone (813) 684-2339

Other practice location 11

6555 Cortez Rd W
Bradenton, FL 34210-2608
Phone (727) 344-6569

Other practice location 12

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-8500

Other practice location 13

6 Brighton Rd
Clifton, NJ 07012-1647
Phone (973) 471-0981

Other identifiers 5

IdentifierTypeStateIssuer
103135200MedicaidFL
LG710OtherFLMEDICARE
LG711OtherFLMEDICARE
07938085MedicaidNY
Y47Z7OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190624000724 FL Practitioner - Hematology/Oncology 4385939032 Reassigns benefits to 1 organization
I20240709001164 NY Practitioner - Hematology/Oncology 4385939032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74189GAMDInternal Medicine Physician
ME139993FLMDHematology & Oncology Physician
25MA11220000NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Comprehensive Hematology Oncology LLC Hematology & Oncology CurrentSince May 20, 2019 Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince May 20, 2019 Accepting new patients

Locations

3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700

6555 Cortez Rd W
Bradenton, FL 34210
Phone (813) 278-5062

425 S Parsons Ave
Ste 101
Brandon, FL 33511
Phone (813) 278-5062

401 Vonderburg Dr
Brandon, FL 33511
Phone (813) 684-2339

3000 US Highway 19
Holiday, FL 34691
Phone (727) 942-7070

1258 West Bay Dr
Ste G
Largo, FL 33770
Phone (727) 935-0500

4114 Woodlands Pkwy
Ste 301
Palm Harbor, FL 34685
Phone (727) 789-2595

603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714

5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570

3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

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

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 3

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1467891333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-8500",
            "fax_number": "845-368-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551813",
            "country_code": "US",
            "telephone_number": "727-312-4300",
            "fax_number": "727-312-4335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Woodlands Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346853450",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Park St N Ste 1017",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092236",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1258 W Bay Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702245",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Holiday",
            "state": "FL",
            "postal_code": "346912635",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 7th St S Ste 560",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014732",
            "country_code": "US",
            "telephone_number": "727-820-7714",
            "fax_number": "727-202-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 S Parsons Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115290",
            "country_code": "US",
            "telephone_number": "813-278-5062",
            "fax_number": "813-502-6933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6555 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102608",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103196",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115963",
            "country_code": "US",
            "telephone_number": "813-684-2339",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6555 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102608",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109014812",
            "country_code": "US",
            "telephone_number": "845-368-8500",
            "fax_number": "845-368-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Brighton Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121647",
            "country_code": "US",
            "telephone_number": "973-471-0981",
            "fax_number": "973-471-5818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "331055",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "74189",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME139993",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA11220000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103135200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LG710",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LG711",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07938085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y47Z7",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.