NPIMap

Individual provider Active NPI

Farzin Sehati, D.O.

  • Family Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1477636389
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204917 Issued in NY
Practice address
6902 Austin St FL 3
Forest Hills, NY 11375-4233
Phone
(718) 263-1450
Fax
(718) 263-1454
NPI assigned
Oct 23, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204917 NY Primary

Addresses

Primary practice location

6902 Austin St FL 3
Forest Hills, NY 11375-4233

Mailing address

PO Box 234809
Great Neck, NY 11023-4809
Phone (718) 736-1450

Other practice location 1

19703 Hillside Ave
Hollis, NY 11423-2126
Phone (718) 736-1450

Other identifiers 1

IdentifierTypeStateIssuer
01937315MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000776 NY Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 3870543085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Rowan University School of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Community Physicians PCGroup PAC ID 4183055882, 2 clinicians

Practice addresses (Care Compare)

Forest Hills, NY 11375
Phone (516) 238-6069

1632 Ocean Ave
Apt 30
Brooklyn, NY 11230-4919

200 Broadway
Brooklyn, NY 11211-6130

214 -55 Jamaica Ave
Queens Village, NY 11428-1733

2414 65TH St
Brooklyn, NY 11204-4136

53 Ocean Ave
Bay Shore, NY 11706-8756
Phone (516) 272-2307

PO Box
Suite 234809
Great Neck, NY 11023-4809

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Community Physicians PC CurrentSince Mar 1, 2020 Accepting new patients
Preferred Health Medical Care PC CurrentSince Dec 1, 1999 Accepting new patients

Locations

53 Ocean Ave
Bay Shore, NY 11706
Phone (516) 280-9744

6902 Austin St
Fl 3
Forest Hills, NY 11375
Phone (718) 544-4443

19703 Hillside Ave
Hollis, NY 11423
Phone (718) 736-1450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1477636389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234809",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110234809",
            "telephone_number": "718-736-1450",
            "fax_number": "718-736-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST FL 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754233",
            "telephone_number": "718-263-1450",
            "fax_number": "718-263-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19703 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Hollis",
            "state": "NY",
            "postal_code": "114232126",
            "country_code": "US",
            "telephone_number": "718-736-1450",
            "fax_number": "718-736-1493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEHATI",
        "first_name": "FARZIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01937315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.