Frontier Medical Care

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FRONTIER MEDICAL CARE

Practice address

301 Tavistock
Cherry Hill, NJ 08034-4020

Phone

(718) 238-2223

Fax

(718) 238-2119

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Farouk Marzouk, MDNPI 1740428929

Title

President

Phone

(718) 238-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Farouk Marzouk, M.D.

  • Vascular Surgery Physician
  • Voorhees, NJ
  • NPI 1740428929

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1982074290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 78TH ST",
            "address_2": "STE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093447",
            "telephone_number": "718-238-2223",
            "fax_number": "718-238-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TAVISTOCK",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080344020",
            "telephone_number": "718-238-2223",
            "fax_number": "718-238-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "FAROUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends of Cyrus II Inc
• Friends of Cyrus II Inc
• Friends of Cyrus II Inc
• Kristina Frisby
• Deana Alexa Fritz, MA, LAC
• Melissa Frucci
• Fubei LLC (Wonderland Spa)
• Jahsiy Imari Fuller
• Kathryn Nicole Fulton, M. ED., BCBA
• Aaron Funtanilla

• Vascular Surgery Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.

Verify at the official NPI Registry.