Individual provider Active NPI

William Farrer, MD

  • Infectious Disease Physician
  • Elizabeth, NJ
National Provider Identifier
1114997012
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA37417 Issued in NJ
Practice address
240 Williamson St Ste 401
Elizabeth, NJ 07202-3672
Phone
(908) 282-0500
Fax
(908) 282-1482
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA37417 NJ Primary

Addresses

Primary practice location

240 Williamson St Ste 401
Elizabeth, NJ 07202-3672

Mailing address

240 Williamson St Ste 401
Elizabeth, NJ 07202-3672
Phone (908) 282-0500

Other practice location 1

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 325-6322

Other identifiers 1

IdentifierTypeStateIssuer
1332201MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA37417NJMDInfectious Disease Physician

Interoperability endpoints

  • Direct secure messaging: william.farrer.1@17699.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1114997012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 401",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-282-0500",
            "fax_number": "908-282-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 401",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-282-0500",
            "fax_number": "908-282-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Williamson St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-325-6322",
            "fax_number": "908-325-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRER",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA37417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1332201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.