Organization Active NPI

Fajar Corp LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1073142980
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAJAR CORP LLC
Practice address
2991 Raywood Ash Dr
Las Vegas, NV 89138-6143
Phone
(201) 737-6717
Fax
(702) 446-6343
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Salman Arif, MD
Title
President
Phone
(201) 737-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2991 Raywood Ash Dr
Las Vegas, NV 89138-6143

Mailing address

2991 Raywood Ash Dr
Las Vegas, NV 89138-6143
Phone (201) 737-6717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1073142980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 RAYWOOD ASH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386143",
            "telephone_number": "201-737-6717",
            "fax_number": "702-446-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 RAYWOOD ASH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386143",
            "telephone_number": "201-737-6717",
            "fax_number": "702-446-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAJAR CORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "ARIF",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-737-6717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.