NPIMap

Individual provider Active NPI

Nuzhat Farooqui

  • Psychiatry Physician
  • Gardner, MA
National Provider Identifier
1689772907
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58749 Issued in MA
Practice address
242 Green St
Gardner, MA 01440-1336
Phone
(978) 632-3420
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 58749 MA Primary

Addresses

Primary practice location

242 Green St
Gardner, MA 01440-1336

Mailing address

50 Oak St
Weston, MA 02493-1444

Other identifiers 2

IdentifierTypeStateIssuer
3041921MedicaidMA
J14885OtherMABLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000962 MA Practitioner - Psychiatry 7517900012 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Gardner, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Practice addresses (Care Compare)

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.56 of 100Reported as individual
Quality
88.12
Improvement activities
0
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58749MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC Psychiatry CurrentSince Nov 20, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jun 1, 1994 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jun 1, 1994 Accepting new patients
Advanced Wound Recovery - Boston, LLC Past Accepting new patients
Nova Psychiatric Service Past Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 3, 2022 Accepting new patients

Locations

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

59 Townsend St
Roxbury, MA 02119
Phone (617) 442-8760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689772907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OAK ST",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-632-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "NUZHAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "58749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041921",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "J14885",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.