Active NPI
Robert Farrar, M.D.
- Anesthesiology Physician
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D03604000
- Practice address
- 61 S Fullerton Ave
Montclair, NJ 07042-2634 - Phone
- (248) 505-0055
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301049866 | MI | |
| Anesthesiology Physician | 207L00000X | D03604000 | NJ | Primary |
Addresses
Primary practice location
61 S Fullerton Ave
Montclair, NJ 07042-2634
Mailing address
61 S Fullerton Ave
Montclair, NJ 07042-2634
Phone (248) 505-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104773596 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Hospital & facility affiliations
- Overlook Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D03604000 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayling Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Anesthesiology | Current | Accepting new patients |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| Troy Infectious Disease and Primary Care LLC | Past | Accepting new patients | |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Past | Accepting new patients |
| Upstate Anesthesia Services, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
-
- Anesthesiology Physician
- Grayling, MI
- NPI 1710313648
-
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
-
- Infectious Disease Physician
- Troy, NY
- NPI 1952609125
-
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1245288273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422634",
"telephone_number": "248-505-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422634",
"telephone_number": "248-505-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301049866",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "D03604000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104773596",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.