Faith Family Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

224277 Issued in NY

Legal business name

FAITH FAMILY MEDICAL PC

Practice address

1713-19 Ralph Avenue
Brooklyn, NY 11236

Phone

(718) 531-6100

Fax

(718) 531-2329

NPI assigned

Aug 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean-Etienne Thibaud, DONPI 1871606442

Title

President

Phone

(718) 531-6100

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean-Etienne Thibaud, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1871606442
  NPD (past) Authorized official
• Jean Daniel Francois, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Brooklyn, NY
  • NPI 1144209610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598878167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100714",
            "address_2": "VANDERVEER STATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112100714",
            "telephone_number": "718-531-6100",
            "fax_number": "718-531-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713-19 RALPH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-531-6100",
            "fax_number": "718-531-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIBAUD",
        "authorized_official_first_name": "JEAN-ETIENNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-531-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodie Fais, L.AC
• Amena Monique Faison
• Ashley Faison, LCSW
• Gerry Faison
• Sarah Alexandra Faitell, DO, MPH
• Faith Medical Supply
• Saralie Faivelson, PHD
• Brandon Benjamin Fajardo, PHARMD
• Lenny Valeska Fajardo
• Lisa Ann Fajardo, PT, DPT

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.