Individual provider Active NPI

Farzin Farokhzadeh

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1679789937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051489 Issued in NY
Practice address
169 Park Ave
Yonkers, NY 10703-2907
Phone
(191) 496-5386
NPI assigned
May 15, 2007
Sex
Male
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
General Practice Dentistry 1223G0001X 051489 NY Primary

Addresses

Primary practice location

169 Park Ave
Yonkers, NY 10703-2907

Mailing address

17 Morley CT
Albertson, NY 11507-1152
Phone (646) 232-7067

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
051489NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farzin Farokhzadeh DDS PC General Practice CurrentSince Apr 9, 2024 Accepting new patients
Luxury Dental of Lynbrook PLLC General Practice CurrentSince Dec 7, 2025 Accepting new patients
Coop Citydental Associates PLLC General Practice Current Accepting new patients

Locations

393 Sunrise Hwy
Ste A
Lynbrook, NY 11563
Phone (516) 825-6969

6713 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 381-5150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679789937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MORLEY CT",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071152",
            "telephone_number": "646-232-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032907",
            "telephone_number": "191-496-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROKHZADEH",
        "first_name": "FARZIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.