Active NPI
Farooq Habib, MD
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1760582373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202930
- Practice address
- 1675 Westchester Ave
Bronx, NY 10472-3001 - Phone
- (718) 842-0900
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202930 | NY | Primary |
Addresses
Primary practice location
1675 Westchester Ave
Bronx, NY 10472-3001
Mailing address
309 Fabry Ter
Teaneck, NJ 07666-6472
Phone (201) 679-8979
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000511 | TX | Order and Referring Only - Pediatric Medicine | 3779874078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202930 | NY | MD | Pediatrics Physician |
Interoperability endpoints
- farooq.habib.p1@direct.lbucc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760582373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 FABRY TER",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076666472",
"telephone_number": "201-679-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104723001",
"telephone_number": "718-842-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "FAROOQ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "202930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.