Active NPI
Jaleh Hoorfar, DPM
- Podiatrist
- Nyc, NY
National Provider Identifier
1679628077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002950
- 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, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002950 | NY | MD | Hospitalist Physician |
| N002950 | NY | MD | Podiatrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.