Farshad David Hannanian, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

213283-1 Issued in NY

Practice address

475 Northern Blvd
Ste 18
Great Neck, NY 11021-4802

Phone

(516) 773-3048

Fax

(516) 304-5011

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Amb Medical Services, P.C.

  • Family Medicine Physician
  • Hauppauge, NY
  • NPI 1568534766
  Medicare reassignment Care Compare group NPD
• Farshad David Hannanian M D P C

  • Specialist
  • Great Neck, NY
  • NPI 1235300096

  Neurology

  Medicare reassignment NPD Authorized official
• Wagdy F Girgis MD PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1548457518

  Neurology

  Medicare reassignment NPD
• Total Neuro Care, P.C.

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1215968607
  NPD (past)
• Specialized Foot and Ankle Care Inc

  • Podiatric Clinic/Center
  • Perth Amboy, NJ
  • NPI 1922784727
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1902840119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "STE 18",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-773-3048",
            "fax_number": "516-304-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "STE 18",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-773-3048",
            "fax_number": "516-304-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNANIAN",
        "first_name": "FARSHAD",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "213283-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01986709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Hanna, DDS
• Moneer K. Hanna, M.D.
• Howard Hao, MD
• Eden Haramati, RDN
• Justin Derek Harbst, ATC
• Harmony Care Acupuncture PC
• Harold N Levinson, MD PC

• Neurology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.