NPIMap

Organization Active NPI

Fathyeh Farnaz Marvasti, M.D.

  • Family Medicine Physician
  • Billerica, MA
National Provider Identifier
1952437188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81691 Issued in MA
Legal business name
FATHYEH FARNAZ MARVASTI, M.D.
Practice address
660 Boston Rd
Billerica, MA 01821-5318
Phone
(978) 663-8889
Fax
(978) 663-7542
NPI assigned
Feb 23, 2007
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. Fathyeh Farnaz Marvasti, M.D.NPI 1659318756
Title
Owner
Phone
(978) 663-8889

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 81691 MA Primary

Addresses

Primary practice location

660 Boston Rd
Billerica, MA 01821-5318

Mailing address

660 Boston Rd
Billerica, MA 01821-5318
Phone (978) 663-8889

Other identifiers 1

IdentifierTypeStateIssuer
3147274MedicaidMA

Other names 1

  • Billerica Family Physicians Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952437188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "978-663-8889",
            "fax_number": "978-663-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "978-663-8889",
            "fax_number": "978-663-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHYEH FARNAZ MARVASTI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARVASTI",
        "authorized_official_first_name": "FATHYEH",
        "authorized_official_middle_name": "FARNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-663-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "81691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147274",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Billerica Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billerica, 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.