Active NPI
Farshad Shafizadeh, M.D., P.C.
- Urology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 214924
- Legal business name
- FARSHAD SHAFIZADEH, M.D., P.C.
- Practice address
- 461 Park Ave S
5TH Floor
New York, NY 10016-6822 - Phone
- (212) 777-8566
- Fax
- (646) 536-8738
- NPI assigned
- Sep 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farshad Shafizadeh, M.D.
- Title
- President
- Phone
- (212) 777-8566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 214924 | NU | Primary |
Addresses
Primary practice location
461 Park Ave S
5TH Floor
New York, NY 10016-6822
Mailing address
461 Park Ave S
5TH Floor
New York, NY 10016-6822
Phone (212) 777-8566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02190334 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4422 Parsons Blvd
Ste 1
Flushing, NY 11355
17916 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 380-6002
3728 77th St
Jackson Heights, NY 11372
Phone (718) 335-7378
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Urology Physician
- New York, NY
- NPI 1003911132
-
- Urology Physician
- Forest Hills, NY
- NPI 1518941293
-
- Anatomic Pathology Physician
- New York, NY
- NPI 1801850631
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1427374057
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1811900780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881799906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 PARK AVE S",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166822",
"telephone_number": "212-777-8566",
"fax_number": "646-536-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 PARK AVE S",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166822",
"telephone_number": "212-777-8566",
"fax_number": "646-536-8738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARSHAD SHAFIZADEH, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAFIZADEH",
"authorized_official_first_name": "FARSHAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-777-8566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": "214924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02190334",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.