Individual provider Active NPI

Kristen Lauren Farraj

  • Gastroenterology Physician
  • White Plains, NY
National Provider Identifier
1528529039
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
316854 Issued in NY
Practice address
41 E Post Rd
White Plains, NY 10601-4607
Phone
(914) 681-0600
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 316854 NY
Internal Medicine Physician 207R00000X 71136 CT
Gastroenterology Physician 207RG0100X 316854 NY Primary
Internal Medicine Physician 207R00000X 009777 AZ

Addresses

Primary practice location

41 E Post Rd
White Plains, NY 10601-4607

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6637

Other practice location 1

220 S 12th Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20230816001348 AZ Practitioner - Internal Medicine 2769710144 Reassigns benefits to 1 organization
I20251112000252 NY Practitioner - Gastroenterology 2769710144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians
Circle the CityGroup PAC ID 3971824442, shared by 7 NPIs, 63 clinicians

Practice addresses (Care Compare)

2 Westchester Park Dr
Suite L 1
White Plains, NY 10604-3432
Phone (914) 683-1555

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71136CTMDInternal Medicine Physician
316854NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Jul 25, 2023 Accepting new patients
Circle the City CurrentSince Jul 25, 2023 Accepting new patients
Circle the City Family Medicine Current Accepting new patients
White Plains Physician Services PC Family Medicine CurrentSince Sep 2, 2025 Accepting new patients

Locations

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

2 Westchester Park Dr
Ste L-1
White Plains, NY 10604
Phone (914) 683-1555

Networks

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

Organizations & group practices 4

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 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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1528529039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014607",
            "telephone_number": "914-681-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850073101",
            "country_code": "US",
            "telephone_number": "602-258-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAJ",
        "first_name": "KRISTEN",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "316854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "71136",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "316854",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "009777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.