Individual provider Active NPI

Folashade Farri, M.D., MPH

  • Pediatric Pulmonology Physician
  • Newark, NJ
National Provider Identifier
1114282654
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
25MA10721800 Issued in NJ
Practice address
201 Lyons Avenue
Suite L5
Newark, NJ 07112
Phone
(973) 926-7280
NPI assigned
Jul 11, 2012
Last updated
Jan 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 296039 NY
Pediatric Pulmonology Physician 2080P0214X 296039 NY
Pediatric Pulmonology Physician 2080P0214X 25MA10721800 NJ Primary
Pediatric Sleep Medicine Physician 2080S0012X 296039 NY

Addresses

Primary practice location

201 Lyons Avenue
Suite L5
Newark, NJ 07112

Mailing address

177 E Saddle River Rd Ste 2
Saddle River, NJ 07458-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181121001055 NY Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 7517211964 Reassigns benefits to 1 organization
I20200312000239 NJ Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 7517211964 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10721800NJMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Lung Asthma & Pulmonary Specialists Claps MD Pediatric Pulmonology CurrentSince Jan 14, 2024 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Oct 12, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 25, 2020 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 25, 2020 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203

201 Lyons Ave
Ste L5
Newark, NJ 07112
Phone (973) 926-3500

177 E Saddle River Rd
Ste 2
Saddle River, NJ 07458

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

2025 Hamburg Tpke
Ste H
Wayne, NJ 07470
Phone (973) 506-2707

375 Mount Pleasant Ave
Ste 105
West Orange, NJ 07052
Phone (973) 322-6900

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

Interoperability endpoints

  • Direct secure messaging: ffarri76174@epicdirect.rwjbh.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1114282654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E SADDLE RIVER RD STE 2",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVENUE",
            "address_2": "SUITE L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "973-926-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRI",
        "first_name": "FOLASHADE",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "296039",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "296039",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NJ",
            "license": "25MA10721800",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NY",
            "license": "296039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.