FARID M MOOSAVY


Address: 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067
Phone: 3026237600

FARID M MOOSAVY (NPI# 1376594150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376594150
Entity Type Individual
Full Name FARID M MOOSAVY
Credential MD
Practice Address 4745 Ogletown Stanton Rd
Suite 220
Newark
DE 19713-2067
Practice Telephone 3026237600
Practice Fax Number 3023661240
Mailing Telephone 3026237600
Mailing Fax Number 3023661240
Enumeration Date 2006-05-15
Last Update Date 2013-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
C10007769 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
COVENTRY 411415 01
INDEPENDENCE BCBS 2690976000 01
AMERIHEALTH/KEYSTONE 2690976000 01
CIGNA 9855585 01
AETNA/USHC 1108627 01
MD CAREFIRST BCBS 64767501 01
DE 1000038313 05

Office Location

Street Address 4745 OGLETOWN STANTON RD
SUITE 220
City NEWARK
State DE
Zip Code 19713-2067

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194224 Mehdi Balakhani Specialist 4745 Ogletown Stanton Rd, Map #1, Suite 226, Newark, DE 19713-2067 2005-06-14
1912439829 Dirm Surgery Center Clinic/Center 4745 Ogletown Stanton Rd, Suite 117, Newark, DE 19713-2067 2017-03-30
1821548025 Danielle M Corsi Registered Nurse 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2016-10-12
1386194116 Sooin Lee Nurse Practitioner 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2016-10-05
1023564499 Hosmane Eye Care LLC Optometrist 4745 Ogletown Stanton Rd, Pavillion 1, Suite 135, Newark, DE 19713-2067 2016-08-26
1407202807 Lisa Wei Schmidt Physician Assistant 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 2016-05-04
1619341328 Keri Ann E. Flanagan Registered Nurse 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2015-11-18
1124496807 Kaysha P Michel Registered Nurse 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067 2015-09-11
1376922799 Chanhsamone Syravanh Physician Assistant 4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology, Newark, DE 19713-2067 2015-05-19
1548652704 Kristin M Fawcett Nurse Practitioner 4745 Ogletown Stanton Rd, Suite 217, Newark, DE 19713-2067 2015-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
Find all providers in zip 19713

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063654135 Deirdre Colgan Internal Medicine 1200 Driving Park Avenue, Po Box 111, Newark, NY 14513-1090 2009-04-03
1467536623 Pulmonary & Critical Care Associates Internal Medicine 268-306 Dr M.l.k. Blvd, Newark, NJ 07102 2006-10-24
1124109319 Richard A. Miller Internal Medicine 268 -306 Martin Luther King Blvd, Newark, NJ 07102 2006-10-17
1871512616 Saroj Sehgal Internal Medicine 1023 S Orange Ave, Newark, NJ 07106-1718 2006-07-19
1205851359 Lee B. Reichman Internal Medicine 225 Warren St, 1st Floor, Newark, NJ 07103-3535 2006-07-12
1932178357 Hemantkumar G Patel Internal Medicine 646 Sanford Ave, Newark, NJ 07106-3036 2006-03-16
1346669496 Carlos E Osorio Internal Medicine 150 Bergen St, Newark, NJ 07103-2496 2014-04-15
1124445200 Katherine Chiapaikeo-poco Internal Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2014-03-26
1891138236 Marc Isaiah Lindner Internal Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2013-04-16
1225320427 Andrew Ryan Deitchman Internal Medicine 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 2011-05-05
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Competitor

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City NEWARK
Zip Code 19713

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Dataset Information

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.

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