Active NPI
Farokh Rustomji Contractor, MD
- Physical Medicine & Rehabilitation Physician
- New Orleans, LA
National Provider Identifier
1659489433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 016919
- Practice address
- 1401 Foucher St
Midos Gary R Glynn MD Apmc
New Orleans, LA 70115 - Phone
- (504) 897-8543
- Fax
- (504) 897-8726
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 22, 2009
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 016919 | LA | Primary |
Addresses
Primary practice location
1401 Foucher St
Midos Gary R Glynn MD Apmc
New Orleans, LA 70115
Mailing address
1401 Foucher St
Midos
New Orleans, LA 70115
Phone (504) 897-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1382787 | Medicaid | LA |
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 |
|---|---|---|---|
| 016919 | LA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients | |
| Crescent City Physicians, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1659489433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 FOUCHER ST",
"address_2": "MIDOS",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70115",
"telephone_number": "504-897-8543",
"fax_number": "504-897-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FOUCHER ST",
"address_2": "MIDOS GARY R GLYNN MD APMC",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70115",
"telephone_number": "504-897-8543",
"fax_number": "504-897-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRACTOR",
"first_name": "FAROKH",
"middle_name": "RUSTOMJI",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "016919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1382787",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Contemporary Family Health Center, Inc
- Contemporory Family Health Centers, Inc.
- Contin U Care Adult Day Health Care, LLC
- Contin-U-Care Outreach Services, Inc
- Contin-U-Care Outreach Services, Inc.
- Haglaeeh Trejo Contreras, DO
- Caroline McCarthy Conway, NP
- Jeffrey Allen Conyers
- Conor Coogan
- Amber Shay Cook, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.