Mark Basil Farid, CERTIFIED PEDORTHIS

Primary specialty

SpecialistTaxonomy code 174400000X

License

NO LICENSE REQUIRED

Practice address

300 Shirley Ave
Staten Island, NY 10312-5455

Phone

(718) 948-6353

Fax

(718) 948-6257

NPI assigned

Jul 17, 2006

Last updated

Feb 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Walk Right

  • Pedorthist
  • Staten Island, NY
  • NPI 1699052662
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1841217312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125455",
            "telephone_number": "718-948-6353",
            "fax_number": "718-948-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125455",
            "telephone_number": "718-948-6353",
            "fax_number": "718-948-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "MARK",
        "middle_name": "BASIL",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED PEDORTHIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "NO LICENSE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01549480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kayla Fargo, RN
• Husam Farhoud, PHARMD
• Ayman E. Farid, MD
• Erini Farid, DDS
• Karen J. Farid, DNP NURSINGDOCTORATE
• Mina Farid
• Osama Farid, PA
• Crystal Josephine Farinha, PA-C
• Shira Farkas
• Veronica Farley, FNP

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.