Active NPI
Robert M Farrell, M.D.
- Urology Physician
- Flushing, NY
National Provider Identifier
1598763377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 104845
- Practice address
- 56 45 Main Street
W-Ll300
Flushing, NY 11355-5045 - Phone
- (718) 353-3710
- Fax
- (718) 463-0400
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 104845 | NY | Primary |
Addresses
Primary practice location
56 45 Main Street
W-Ll300
Flushing, NY 11355-5045
Mailing address
56 45 Main Street
W-Ll300
Flushing, NY 11355-5045
Phone (718) 353-3710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00272739 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian/Queens | Past | Accepting new patients | |
| Tarasuk & Farrell Urologiocal Associated | Urology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
-
- Urology Physician
- Flushing, NY
- NPI 1861420564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1598763377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 45 MAIN STREET",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-353-3710",
"fax_number": "718-463-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 45 MAIN STREET",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-353-3710",
"fax_number": "718-463-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "104845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00272739",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.