Individual provider Active NPI

Farzan Gorgani, D.O.

  • Ophthalmology Physician
  • East Setauket, NY
National Provider Identifier
1497133615
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
285137 Issued in NY
Practice address
33 Research Way Ste 13
East Setauket, NY 11733-3489
Phone
(631) 444-4090
Fax
(631) 444-4089
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X AS7163304 NY
Ophthalmology Physician 207W00000X 34.013846 OH
Ophthalmology Physician 207W00000X 25MB11093500 NJ
Ophthalmology Physician 207W00000X 285137 NY Primary

Addresses

Primary practice location

33 Research Way Ste 13
East Setauket, NY 11733-3489

Mailing address

33 Research Way Ste 13
East Setauket, NY 11733-3489
Phone (631) 444-4090

Other practice location 1

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 374-8900

Other practice location 2

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

Other practice location 3

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

Other identifiers 1

IdentifierTypeStateIssuer
2697807MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Athenahealth.net
Other URL nextech.com

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
I20210706002743 NY Practitioner - Ophthalmology 1850628686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-4090

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AS7163304NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Ophthalmology, University Faculty Practice Corporation Ophthalmology CurrentSince Jan 30, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients

Locations

500 Commack Rd
Ste 108
Commack, NY 11725

33 Research Way
Ste 13
East Setauket, NY 11733
Phone (631) 444-4092

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

67 Hampton Rd
Unit 12
Southampton, NY 11968

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

Networks

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

Interoperability endpoints

  • Direct secure messaging: fgorgani@sbumc.ecldirect.net

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 6

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1497133615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RESEARCH WAY STE 13",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333489",
            "telephone_number": "631-444-4090",
            "fax_number": "631-444-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RESEARCH WAY STE 13",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333489",
            "telephone_number": "631-444-4090",
            "fax_number": "631-444-4089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "076212125",
            "country_code": "US",
            "telephone_number": "201-374-8900",
            "fax_number": "201-385-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORGANI",
        "first_name": "FARZAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "AS7163304",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34.013846",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB11093500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "285137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697807",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenahealth.net",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "address_1": "1 N Washington Ave",
            "city": "Bergenfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076212125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nextech.com",
            "affiliation": "N",
            "endpointDescription": "MDI",
            "address_1": "1 N Washington Ave",
            "city": "Bergenfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076212125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.