Organization Active NPI

Livingston Healthcare, LLC

  • Child & Adolescent Psychiatry Physician
  • Livingston, NJ
National Provider Identifier
1215060678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07914800 Issued in NJ
Legal business name
LIVINGSTON HEALTHCARE, LLC
Practice address
107 East Mt. Pleasant Ave
Suite 107
Livingston, NJ 07039
Phone
(973) 535-3999
Fax
(973) 535-3222
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Farheen Fahim, M.DNPI 1730257502
Title
Owner
Phone
(973) 535-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07914800 NJ Primary

Addresses

Primary practice location

107 East Mt. Pleasant Ave
Suite 107
Livingston, NJ 07039

Mailing address

94 Edgemere Rd
Livingston, NJ 07039-2830
Phone (973) 535-3999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215060678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 EDGEMERE RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392830",
            "telephone_number": "973-535-3999",
            "fax_number": "973-535-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EAST MT. PLEASANT AVE",
            "address_2": "SUITE 107",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-535-3999",
            "fax_number": "973-535-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAHIM",
        "authorized_official_first_name": "FARHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-535-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07914800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.