Individual provider Active NPI

Nuzhat Faridi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson Heights, NY
National Provider Identifier
1992876346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
197647 Issued in NY
Practice address
37 58 72ND St
Jackson Heights, NY 11372
Phone
(718) 426-1000
Fax
(718) 426-1100
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 197647 NY Primary

Addresses

Primary practice location

37 58 72ND St
Jackson Heights, NY 11372

Mailing address

671 College Road
Farmingville, NY 11738
Phone (718) 426-1000

Other identifiers 1

IdentifierTypeStateIssuer
02139559MedicaidNY

Other names 1

  • Nuzhat Faridi Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071126000355 NY Practitioner - Internal MedicinePractitioner - Endocrinology 3779671870

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 58
Jackson Heights, NY 11372

3758 72 St
jackson heights, NY 11372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
197647NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Centereach Medical Office P.C. Current Accepting new patients
Centereach Medical Care PC Past Accepting new patients

Locations

18 Eastwood Blvd
Centereach, NY 11720
Phone (631) 461-3600

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992876346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 COLLEGE ROAD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "11738",
            "telephone_number": "718-426-1000",
            "fax_number": "718-426-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 58 72ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-426-1000",
            "fax_number": "718-426-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIDI",
        "first_name": "NUZHAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "197647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02139559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUZHAT",
            "last_name": "FARIDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.