NPIMap

Organization Active NPI

Behrouz Farahmandpour D.O.P.C.

  • Multi-Specialty Clinic/Center
  • Melville, NY
National Provider Identifier
1750797890
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
233446 Issued in NY
Legal business name
BEHROUZ FARAHMANDPOUR D.O.P.C.
Practice address
25 Melville Park Rd Ste 200B
Melville, NY 11747-3156
Phone
(631) 888-5957
Fax
(631) 940-5837
NPI assigned
Jul 9, 2014
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Behrouz Farahmandpour, DONPI 1447246756
Title
Owner
Phone
(516) 524-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 233446 NY Primary
Primary Care Clinic/Center 261QP2300X 233446 NY
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

25 Melville Park Rd Ste 200B
Melville, NY 11747-3156

Mailing address

30 Haight St
Deer Park, NY 11729-3135
Phone (516) 524-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924001712 NY Part B Supplier - Clinic/Group Practice 4880813864 Receives reassigned benefits from 1 practitioner
Practice locations: Melville, NY

National Provider Directory

National Provider Directory

Locations

25 Melville Park Rd
Melville, NY 11747
Phone (516) 424-8206

25 Melville Park Rd
Ste 200B
Melville, NY 11747
Phone (631) 888-5957

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1750797890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAIGHT ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293135",
            "telephone_number": "516-524-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MELVILLE PARK RD STE 200B",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473156",
            "telephone_number": "631-888-5957",
            "fax_number": "631-940-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHROUZ FARAHMANDPOUR D.O.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "FARAHMANDPOUR",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-524-2213",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "233446",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "233446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.