Individual provider Active NPI

Nagina Farida, M.D

  • Adolescent Medicine (Family Medicine) Physician
  • Kingston, PA
National Provider Identifier
1760742035
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
MT201651 Issued in PA
Practice address
2 Sharpe St
Kingston, PA 18704-3715
Phone
(570) 552-8956
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X MT201651 PA Primary

Addresses

Primary practice location

2 Sharpe St
Kingston, PA 18704-3715

Mailing address

2 Sharpe St
Kingston, PA 18704-3715
Phone (570) 552-8956

Other identifiers 1

IdentifierTypeStateIssuer
PJ33387GMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT201651PAMDAdolescent Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1760742035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHARPE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043715",
            "telephone_number": "570-552-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHARPE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043715",
            "telephone_number": "570-552-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIDA",
        "first_name": "NAGINA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MT201651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PJ33387G",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.