Fa Surgical PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

241611 Issued in NY

Legal business name

FA SURGICAL PLLC

Practice address

3728 77TH St
Jackson Heights, NY 11372-6630

Phone

(929) 777-0680

Fax

(516) 706-6026

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faruque Ahmed, D.ONPI 1477645315

Title

DO

Phone

(929) 777-0680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faruque Ahmed, D.O.

  • Surgery Physician
  • Jackson Heights, NY
  • NPI 1477645315
  NPD (past) Authorized official

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1861812646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 WEXFORD TER APT 16T",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322838",
            "telephone_number": "929-777-0680",
            "fax_number": "516-706-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "929-777-0680",
            "fax_number": "516-706-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FA SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FARUQUE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "929-777-0680",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "241611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.