DR. FARRUKH AZIZ ANSARI (NPI# 1174814933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174814933 |
| Entity Type | Individual |
| Full Name | DR. FARRUKH AZIZ ANSARI |
| Credential | M.D. |
| Practice Address |
121 Everett Rd Ste 100 Albany NY 12205-1447 |
| Practice Telephone | 5184539088 |
| Mailing Telephone | 1854892663 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 269588 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
269588 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | J400215424 | 01 |
| Street Address |
121 EVERETT RD STE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
| 1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
| 1083231369 | Tyler David Gray | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-02 |
| 1588155865 | Joseph Isgro | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2018-05-23 |
| 1477044766 | Elise Moinzadeh | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205 | 2018-05-23 |
| 1437401312 | Christopher Szczesniak | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695812 | Islandia Medical Pllc | Pain Medicine | 1726 Veterans Memorial Hwy, Islandia, NY 11749-1512 | 2020-07-03 |
| 1689205940 | Caliber Medical, PC | Pain Medicine | 635 Madison Ave Fl 14, New York, NY 10022-1009 | 2020-01-27 |
| 1437792413 | Kings Highway Physicians Group Pllc | Pain Medicine | 144 E 98th St, Brooklyn, NY 11212-3841 | 2019-10-23 |
| 1114411675 | Health Quest Medical Practice, PC | Pain Medicine | 644 Stoneleigh Ave Ste 103, Carmel, NY 10512-2451 | 2018-06-19 |
| 1265934913 | Derrick Trent | Pain Medicine | 626 Riverside Dr Apt 21c, New York, NY 10031-7230 | 2018-03-08 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1689123929 | Integrative Pain & Wellness Associates, LLC | Pain Medicine | 1360 North Forest Road, Suite 115, Williamsville, NY 14221-1200 | 2016-09-28 |
| 1972978153 | Shankar Uma Ganti | Pain Medicine | 20 Willow Ln, Irvington, NY 10533-1110 | 2015-12-14 |
| 1487029815 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 6430 Transit Rd, Suite 300, Depew, NY 14043-1033 | 2015-12-10 |
| 1770958100 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 | 2015-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.