Individual provider Active NPI

Sherman Farahani, DDS

  • Prosthodontics
  • Hoboken, NJ
National Provider Identifier
1619234358
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
057114 Issued in NY
Practice address
1100 Maxwell LN Unit 1106
Hoboken, NJ 07030-6881
Phone
(646) 644-6256
NPI assigned
Apr 19, 2012
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 057114 NY Primary

Addresses

Primary practice location

1100 Maxwell LN Unit 1106
Hoboken, NJ 07030-6881

Mailing address

1100 Maxwell LN Unit 1106
Hoboken, NJ 07030-6881
Phone (646) 644-6256

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057114NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1619234358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAXWELL LN UNIT 1106",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306881",
            "telephone_number": "646-644-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAXWELL LN UNIT 1106",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306881",
            "telephone_number": "646-644-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHANI",
        "first_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "057114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.