Active NPI
William Farrer, MD
- Infectious Disease Physician
- Elizabeth, NJ
National Provider Identifier
1114997012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA37417
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1332201 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA37417 | NJ | MD | Infectious Disease Physician |
Interoperability endpoints
- 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.