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Deactivated NPI 1013484856 Deactivated / Inactive NPI Female Practitioner

Maryam Farazandeh

General Practice • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Maryam Farazandeh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2018
NPI Deactivation Date August 09, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Maryam Farazandeh was a registered General Practice practicing in Bronx, NY. Throughout an active medical career spanning 5 years, Maryam Farazandeh provided care at the practice location at 2015 GRAND CONCOURSE until profile deactivation on 2023-08-09.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2015 Grand Concourse

Bronx, NY 104534303

Telephone 7182997295
Associated Practice Facility / Clinic
🏢 Essen Medical Associates, Pc Facility NPI 1366418709

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
86 Specialists

Practicing in Bronx, NY (818 Statewide)

Telehealth Adoption Rate
8.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
305 111 $105.00 $78.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
144 53 $139.00 $105.05

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY P13753

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mana Rao , MD

Internal Medicine - Infectious Disease

NPI 1003162686

Doctor of Medicine (M.D.)

Tandika Boatswain , NP

Nurse Practitioner - Family

NPI 1003163742

Nurse Practitioner

Dr. Keshav Teelucksingh , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003164179

Doctor of Medicine (M.D.)

Latoya Betton , NP

Nurse Practitioner - Family

NPI 1003170275

Nurse Practitioner

Cynthia Jean

Nurse Practitioner - Family

NPI 1003278623
Rashana Thompson , NP, RN

Nurse Practitioner - Family

NPI 1003303561

Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active November 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location November 08, 2018

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

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Updated Business Mailing Address November 08, 2018

Registered at 3198 GRAND CONCOURSE, BRONX, NY 104581000 (Tel: 7186180401)

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Provider Name / Credentials Updated November 08, 2018

Recorded as MARYAM FARAZANDEH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

General Practice (License #P13753 in NY)

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Initial NPI Registration & Enumeration October 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013484856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2018
Last Update: November 08, 2018
Deactivation Date: August 09, 2023

Mailing Address

3198 Grand Concourse

Bronx, NY 104581000

Phone: 7186180401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.