Active NPI
John J Farkas, MD
- Gastroenterology Physician
- Clifton, NJ
National Provider Identifier
1205924248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA48276
- Practice address
- 842 Clifton Ave Ste 6
Clifton, NJ 07013-1800 - Phone
- (973) 777-5717
- Fax
- (201) 632-4815
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MA48276 | NJ | Primary |
Addresses
Primary practice location
842 Clifton Ave Ste 6
Clifton, NJ 07013-1800
Mailing address
1130 McBride Ave FL 3
Woodland Park, NJ 07424-3806
Phone (973) 785-2277
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0554214 | Other | NJ | GHI PPO |
| 5V9731 | Other | NJ | BC BS OF NY 716 BROAD ST. |
| 0115607000 | Other | NJ | AMERIHEALTH |
| 1694804 | Medicaid | NJ | |
| 3K8631 | Other | NJ | HEALTHNET |
| 398180 | Other | NJ | WELLCARE |
| 5V9732 | Other | NJ | BC BS OF NJ SUITE 102 W. PATERSON |
| P3929819 | Other | NJ | OXFORD |
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 |
|---|---|---|---|
| MA48276 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Diagnostics of Northern New Jersey, PA | Gastroenterology | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Woodland Park, NJ
- NPI 1942267893
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1205924248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 MCBRIDE AVE FL 3",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074243806",
"telephone_number": "973-785-2277",
"fax_number": "973-785-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 CLIFTON AVE STE 6",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131800",
"telephone_number": "973-777-5717",
"fax_number": "201-632-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARKAS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA48276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0554214",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF NY 716 BROAD ST.",
"identifier": "5V9731",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0115607000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1694804",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K8631",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "398180",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF NJ SUITE 102 W. PATERSON",
"identifier": "5V9732",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3929819",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.