Active NPI
Tarek Jeremy Afif, M.D.
- MOHS-Micrographic Surgery Physician
- Pomona, NY
National Provider Identifier
1881827459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- P71691
- Practice address
- 7A Medical Park Dr
Pomona, NY 10970-3516 - Phone
- (845) 354-1169
- Fax
- (845) 362-5126
- NPI assigned
- Aug 31, 2009
- Last updated
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | P71691 | NY | Primary |
Addresses
Primary practice location
7A Medical Park Dr
Pomona, NY 10970-3516
Mailing address
7A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 354-1169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P71691 | NY | MD | MOHS-Micrographic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1881827459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7A MEDICAL PARK DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703516",
"telephone_number": "845-354-1169",
"fax_number": "845-362-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7A MEDICAL PARK DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703516",
"telephone_number": "845-354-1169",
"fax_number": "845-362-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFIF",
"first_name": "TAREK",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "P71691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.