Javier Farach MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAVIER FARACH MD, PA

Practice address

1545 Hand Ave
Suite B1
Ormond Beach, FL 32174-1139

Phone

(386) 615-3838

Fax

(386) 615-3848

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Javier Farach, M.D.NPI 1386610186

Title

President

Phone

(386) 615-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Javier Farach, M.D.

  • Internal Medicine Physician
  • Ormond Beach, FL
  • NPI 1386610186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1851347868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741139",
            "telephone_number": "386-615-3838",
            "fax_number": "386-615-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741139",
            "telephone_number": "386-615-3838",
            "fax_number": "386-615-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER FARACH MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "FARACH",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-615-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.