Individual provider Active NPI

Isabel Astrid Faringer-Perez, CNM

  • Midwife
  • Bohemia, NY
National Provider Identifier
1871260034
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
002095 Issued in NY
Practice address
4875 Sunrise Hwy Ste 200
Bohemia, NY 11716-4630
Phone
(631) 444-4686
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 002095 NY Primary

Addresses

Primary practice location

4875 Sunrise Hwy Ste 200
Bohemia, NY 11716-4630

Mailing address

4875 Sunrise Hwy Ste 200
Bohemia, NY 11716-4630
Phone (914) 574-3758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FIRSTNAME.LASTNAME@DIRECT.STONYBROOKMEDICINE.EDU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928002583 NY Practitioner - Certified Nurse Midwife (CNM) 4385041789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
002095NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Associates in Obstetrics & Gynecology, University Faculty P CurrentSince Nov 1, 2021 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor PastSince Jun 18, 2012 Accepting new patients

Locations

4875 Sunrise Hwy
Ste 200
Bohemia, NY 11716
Phone (631) 638-4401

14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 444-1496

225 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2316

6 Technology Dr
Setauket, NY 11733
Phone (631) 444-2790

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: isabel.faringerperez@direct.stonybrookmedicine.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1871260034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 SUNRISE HWY STE 200",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164630",
            "telephone_number": "914-574-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 SUNRISE HWY STE 200",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164630",
            "telephone_number": "631-444-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINGER-PEREZ",
        "first_name": "ISABEL",
        "middle_name": "ASTRID",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "002095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FIRSTNAME.LASTNAME@DIRECT.STONYBROOKMEDICINE.EDU",
            "affiliation": "N",
            "address_1": "4875 Sunrise Hwy Ste 200",
            "city": "Bohemia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117164630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

Verify at the official NPI Registry.