Active NPI
Jorge Adalberto Farrat, M.D.
- Family Medicine Physician
- Dunn, NC
National Provider Identifier
1659464402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 201201998
- Practice address
- 3331 Easy St
Dunn, NC 28334-7988 - Phone
- (910) 567-6194
- Fax
- (910) 567-4389
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 201201998 | NC | Primary |
Addresses
Primary practice location
3331 Easy St
Dunn, NC 28334-7988
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00864897 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201201998 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Emergency Medical Services, PC | Past | Accepting new patients | |
| Caritas Emergency Medical Services, PC | 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.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1225134851
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Elmhurst, NY
- NPI 1518063155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1659464402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6000",
"fax_number": "516-622-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 EASY ST",
"city": "DUNN",
"state": "NC",
"postal_code": "283347988",
"telephone_number": "910-567-6194",
"fax_number": "910-567-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAT",
"first_name": "JORGE",
"middle_name": "ADALBERTO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "201201998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00864897",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.