Individual provider Active NPI

Zoya Jahanzeb Effendi, M.D.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1700232907
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S1590 Issued in TX
Practice address
501 Madison Avenue
Scranton, PA 18510
Phone
(570) 343-2383
Fax
(570) 343-4800
NPI assigned
May 6, 2016
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X S1590 TX Primary

Addresses

Primary practice location

501 Madison Avenue
Scranton, PA 18510

Mailing address

12222 Chena LK
San Antonio, TX 78249-4555
Phone (570) 877-5414

Other names 1

  • Dr. Zoya Farooqui Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000745 TX Practitioner - Internal Medicine 1153604905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1590TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Jun 15, 2023 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2850 Lewis Ln
Ste 109
Paris, TX 75460
Phone (903) 737-1623

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1700232907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 CHENA LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494555",
            "telephone_number": "570-877-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFENDI",
        "first_name": "ZOYA",
        "middle_name": "JAHANZEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOYA",
            "last_name": "FAROOQUI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.