Eliane Farroukh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

245693 Issued in NY

Practice address

800 Poly PL
Brooklyn, NY 11209-7104

Phone

(718) 836-6600

Fax

(718) 360-3761

NPI assigned

May 19, 2006

Last updated

Jan 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Staten Island Hospitalists, PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1306836978
  NPD (past)
• Richard P Carr Physical Therapy Inc

  dba California Rehabilitation and Sport Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1881676377
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1780638395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600",
            "fax_number": "718-360-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600",
            "fax_number": "718-360-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROUKH",
        "first_name": "ELIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02754745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Farrell, LMSW
• Susanne M Farrell, PA
• Virginia Farrell, CNM
• Angelique Farris
• Ehsan Farrokhmanesh, D.D.S.
• Allison Farrow, LCSW
• Molly Elizabeth Farrugia, LCAT
• Farrukh Corp
• Najwa Farsakh
• Hina Faruqi, M.D

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.

Verify at the official NPI Registry.