Individual provider Active NPI

Jaleh Hoorfar, DPM

  • Podiatrist
  • Nyc, NY
National Provider Identifier
1679628077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002950 Issued in NY
Practice address
565 Park Ave
Nyc, NY 10021
Phone
(212) 758-0968
Fax
(212) 758-3637
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002950 NY Primary

Addresses

Primary practice location

565 Park Ave
Nyc, NY 10021

Mailing address

565 Park Ave
Nyc, NY 10021
Phone (212) 758-0968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000464 NY Practitioner - Podiatry 8325006083 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

565 Park Ave
New York, NY 10065-7344
Phone (212) 758-0968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002950NYMDHospitalist Physician
N002950NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679628077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PARK AVE",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-758-0968",
            "fax_number": "212-758-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 PARK AVE",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-758-0968",
            "fax_number": "212-758-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOORFAR",
        "first_name": "JALEH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

Verify at the official NPI Registry.