Active NPI
Mojgan Behbakht, MD
- Pediatrics Physician
- Florham Park, NJ
National Provider Identifier
1104802438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05662700
- Practice address
- 29 Columbia Turnpike
Ste 201
Florham Park, NJ 07932 - Phone
- (973) 410-0422
- Fax
- (973) 410-1057
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05662700 | NJ | Primary |
Addresses
Primary practice location
29 Columbia Turnpike
Ste 201
Florham Park, NJ 07932
Mailing address
PO Box 95000 LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151201002036 | NJ | Order and Referring Only - Pediatric Medicine | 5496055220 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Partners LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1104802438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000 LB#7550",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191957550",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 COLUMBIA TURNPIKE",
"address_2": "STE 201",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "07932",
"telephone_number": "973-410-0422",
"fax_number": "973-410-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHBAKHT",
"first_name": "MOJGAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05662700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.