FARES GHANEM MD
NPI 1700494754
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Fares Ghanem Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARES GHANEM MD (NPI 1700494754) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fares Ghanem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BRONX, NY 10467
BRONX, NY 10467
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 Fares Ghanem's NPI number?
The NPI number for Fares Ghanem is 1700494754. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Fares Ghanem located?
Fares Ghanem practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.
What is Fares Ghanem's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Fares Ghanem enrolled in Medicare?
Yes. Fares Ghanem is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Fares Ghanem was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Fares Ghanem, MD · NPI 1700494754
Student in an Organized Health Care Education/Training Program provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1700494754 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700494754) · Data from the CMS NPPES public registry.