Individual provider Active NPI

Faruk A Ali, FNP

  • Nurse Practitioner
  • Basking Ridge, NJ
National Provider Identifier
1093024499
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00305200 Issued in NJ
Practice address
131 Morristown Rd
Basking Ridge, NJ 07920-1654
Phone
(347) 587-9691
NPI assigned
Oct 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00305200 NJ Primary
Nurse Practitioner 363L00000X 336530 NY

Addresses

Primary practice location

131 Morristown Rd
Basking Ridge, NJ 07920-1654

Mailing address

131 Morristown Rd
Basking Ridge, NJ 07920-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110202000528 NJ Practitioner - Nurse Practitioner 7911187364 Reassigns benefits to 2 organizations
I20200206002182 NY Practitioner - Nurse Practitioner 7911187364

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

Practice addresses (Care Compare)

255 W Spring Valley Ave
Suite 102
Maywood, NJ 07607-1444
Phone (551) 309-3555

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555

428 Union Ave
Paterson, NJ 07502-1927
Phone (551) 309-3555

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
99.16
Improvement activities
40
Cost
72.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336530NYMDPediatrics Physician
26NJ00305200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gamil Makar MD LLC CurrentSince Nov 8, 2021 Accepting new patients
Allhealthmedicalgroup Com PC CurrentSince Feb 1, 2022 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

865 Teaneck Rd
Ste 1
Teaneck, NJ 07666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
  • Direct secure messaging: faruk.ali.1@23990.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1093024499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MORRISTOWN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MORRISTOWN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201654",
            "telephone_number": "347-587-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FARUK",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-02",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00305200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.