FARADIS LINDBLOM PA-C
NPI 1699319798
Student in an Organized Health Care Education/Training Program in New York, NY

Active since October 31, 2019PECOS Enrolled
462 1ST AVE, NEW YORK, NY 10016(212) 562-5555 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Faradis Lindblom Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARADIS LINDBLOM PA-C (NPI 1699319798) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699319798
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFARADIS LINDBLOMCredential: PA-C
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address527 W 135th St Apt 2bNew York, NY 10031-8414 · (563) 213-8335
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2019
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1699319798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 1ST AVE, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Faradis Lindblom Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840720124
PECOS Enrollment IDI20250217001261
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faradis Lindblom's NPI number?

The NPI number for Faradis Lindblom is 1699319798. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Faradis Lindblom located?

Faradis Lindblom practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-5555.

What is Faradis Lindblom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Faradis Lindblom enrolled in Medicare?

Yes. Faradis Lindblom is registered in the Medicare PECOS enrollment system.

Is Faradis Lindblom affiliated with any hospitals?

According to CMS data, Faradis Lindblom is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Faradis Lindblom was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.