Active NPI
Nuzhat Faridi, MD
- Endocrinology, Diabetes & Metabolism Physician
- Jackson Heights, NY
National Provider Identifier
1992876346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 197647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02139559 | Medicaid | NY |
Other names 1
- Nuzhat Faridi
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071126000355 | NY | Practitioner - Internal Medicine | 3779671870 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 197647 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Centereach, NY
- NPI 1538493416
-
- Internal Medicine Physician
- Centereach, NY
- NPI 1659554178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.