NPIMap

Organization Active NPI

Hossam Elfarra MD PA

  • Gastroenterology Physician
  • Clifton, NJ
National Provider Identifier
1043266596
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA065385 Issued in NJ
Legal business name
HOSSAM ELFARRA MD PA
Practice address
1300 Main Ave Ste 1B
Clifton, NJ 07011-2266
Phone
(973) 777-5778
NPI assigned
May 26, 2006
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hossam Elfarra, MD
Title
Owner
Phone
(973) 777-5778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA065385 NJ Primary

Addresses

Primary practice location

1300 Main Ave Ste 1B
Clifton, NJ 07011-2266

Mailing address

7 Skyview Rd
Wayne, NJ 07470-6284
Phone (973) 777-5778

Other identifiers 1

IdentifierTypeStateIssuer
7303904MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1043266596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SKYVIEW RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706284",
            "telephone_number": "973-777-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE STE 1B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-777-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSAM ELFARRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ELFARRA",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-777-5778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA065385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7303904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.