Organization Active NPI

M.a. Sarraf, M.D., P.a.

  • Pulmonary Disease Physician
  • South Plainfield, NJ
National Provider Identifier
1073601225
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
M.A. SARRAF, M.D., P.A.
Practice address
1907 Park Ave
Suite 202
South Plainfield, NJ 07080-5530
Phone
(908) 561-1313
Fax
(908) 561-3917
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Mr. Mohammad A Sarraf, MDNPI 1689648735
Title
President
Phone
(908) 561-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X NJ Primary

Addresses

Primary practice location

1907 Park Ave
Suite 202
South Plainfield, NJ 07080-5530

Mailing address

1907 Park Ave
Suite 202
South Plainfield, NJ 07080-5530
Phone (908) 561-1313

Other identifiers 3

IdentifierTypeStateIssuer
2908701MedicaidNJ
2371892002OtherNJAMERIHEALTH GROUP NUMBER
DB1885OtherNJRAILROAD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001048 NJ Part B Supplier - Clinic/Group Practice 3971406851 Receives reassigned benefits from 1 practitioner
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1073601225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "address_2": "SUITE 202",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "908-561-1313",
            "fax_number": "908-561-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "address_2": "SUITE 202",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "908-561-1313",
            "fax_number": "908-561-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A. SARRAF, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "SARRAF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-561-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2908701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "2371892002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "DB1885",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.