Shazim Farooq, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

061023 Issued in NY

Practice address

3905 61St St
Flushing, NY 11377-3566

Phone

(718) 940-4404

NPI assigned

Apr 16, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1801320965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONLEA CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545927",
            "telephone_number": "845-709-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 61ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113773566",
            "telephone_number": "718-940-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Stonlea Ct",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109545927",
            "country_code": "US",
            "telephone_number": "845-709-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "SHAZIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-16",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Fatima MD P.C.
• Sahar Farhan, MD
• Davood Farhangian, MD
• Syeda Farheen
• Andrew Farina
• Rafat Farooqui, M.B.B.S
• Robert M Farrell, M.D.
• Farrington Adult Daycare Center Inc
• Eneida J. Farro Fuentes, LCSW
• Alexis Andrea Farruggio, PT

• Pediatric Dentistry in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.