Organization Active NPI

M. Morey Farizan, M.D., P.C.

  • Vascular Surgery Physician
  • Dorchester Center, MA
National Provider Identifier
1922100064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
M. MOREY FARIZAN, M.D., P.C.
Practice address
2110 Dorchester Ave
#209
Dorchester Center, MA 02124-5628
Phone
(617) 298-0481
Fax
(617) 298-3358
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. M Morey Farizan
Title
President
Phone
(617) 298-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

2110 Dorchester Ave
#209
Dorchester Center, MA 02124-5628

Mailing address

2110 Dorchester Ave
#209
Dorchester Center, MA 02124-5628
Phone (617) 298-0481

Other identifiers 1

IdentifierTypeStateIssuer
2064863MedicaidMA

National Provider Directory

National Provider Directory

Locations

2100 Dorchester Ave
Ste 209
Dorchester, MA 02124
Phone (617) 298-0481

2110 Dorchester Ave
Ste 209
Dorchestr Ctr, MA 02124
Phone (617) 298-0481

125 Parker Hill Ave
#N
Roxbury Xing, MA 02120
Phone (617) 731-3730

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922100064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "#209",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-0481",
            "fax_number": "617-298-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "#209",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-0481",
            "fax_number": "617-298-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. MOREY FARIZAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARIZAN",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "MOREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-298-0481",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064863",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.