Individual provider Active NPI

Parisa Hakimzadeh, D.O.

  • Nephrology Physician
  • Somerset, NJ
National Provider Identifier
1104826718
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MB07893700 Issued in NJ
Practice address
7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873
Phone
(732) 873-1400
Fax
(732) 960-3444
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MB07893700 NJ Primary
Nephrology Physician 207RN0300X OS012334 PA

Addresses

Primary practice location

7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873

Mailing address

7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873
Phone (732) 873-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000030 NJ Practitioner - NephrologyPractitioner - Internal Medicine 7315949260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Renal and Hypertension Group, PCGroup PAC ID 9032265293, 4 clinicians

Practice addresses (Care Compare)

7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331
Phone (732) 873-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012334PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Renal & Hypertension Group, PC CurrentSince Jul 13, 2009 Accepting new patients

Locations

7 Cedar Grove Ln
Ste 31
Somerset, NJ 08873
Phone (732) 469-6005

Interoperability endpoints

  • Direct secure messaging: parisa.hakimzadeh@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1104826718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LANE",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LANE",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMZADEH",
        "first_name": "PARISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB07893700",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.