Individual provider Active NPI

Farouk Marzouk, M.D.

  • Vascular Surgery Physician
  • Voorhees, NJ
National Provider Identifier
1740428929
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA09025500 Issued in NJ
Practice address
1001 Laurel Oak Rd
Suite D1
Voorhees, NJ 08043-3512
Phone
(856) 783-0191
Fax
(856) 783-0264
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA09025500 NJ Primary

Addresses

Primary practice location

1001 Laurel Oak Rd
Suite D1
Voorhees, NJ 08043-3512

Mailing address

1001 Laurel Oak Rd
Ste. D1
Voorhees, NJ 08043-3512
Phone (856) 783-0191

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208001805 NY Practitioner - Vascular Surgery 7911195607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9101 4TH Ave
Lowr Level
Brooklyn, NY 11209-6368
Phone (718) 630-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18
Leg revascularization (restoring blood flow)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical Care Vascular Surgery CurrentSince Dec 25, 2016 Accepting new patients
Kennedy Medical Group Practice, P.C. Vascular Surgery PastSince Jun 15, 2021 Accepting new patients

Locations

9101 4th Ave
Lowr
Brooklyn, NY 11209
Phone (718) 630-1111

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1740428929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "STE. D1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433512",
            "telephone_number": "856-783-0191",
            "fax_number": "856-783-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "SUITE D1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433512",
            "telephone_number": "856-783-0191",
            "fax_number": "856-783-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOUK",
        "first_name": "FAROUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA09025500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.