Individual provider Active NPI

John Patrick Farry, MD

  • Cardiovascular Disease Physician
  • New Providence, NJ
National Provider Identifier
1174517635
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03168600 Issued in NJ
Practice address
571 Central Ave Ste 115
Associates in Cardiovascular Disease LLC
New Providence, NJ 07974-1547
Phone
(908) 464-4200
Fax
(908) 464-1332
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA03168600 NJ Primary

Addresses

Primary practice location

571 Central Ave Ste 115
Associates in Cardiovascular Disease LLC
New Providence, NJ 07974-1547

Mailing address

PO Box 416457
Practice Associates Medical Group
Boston, MA 02241-6457
Phone (973) 656-6280

Other identifiers 1

IdentifierTypeStateIssuer
1815903MedicaidNJ

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
I20100823000029 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335273655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

211 Mountain Ave
Springfield, NJ 07081-2221
Phone (973) 467-0005

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Hospital Corp PastSince Mar 12, 2024 Accepting new patients
NJ Bariatric Institute LLC PastSince Feb 27, 2017 Accepting new patients
Cardiac Testing Center Past Accepting new patients

Organizations & group practices 5

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 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1174517635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "address_2": "PRACTICE ASSOCIATES MEDICAL GROUP",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-656-6280",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 115",
            "address_2": "ASSOCIATES IN CARDIOVASCULAR DISEASE LLC",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-464-4200",
            "fax_number": "908-464-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03168600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1815903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

Verify at the official NPI Registry.