Individual provider Active NPI

Robert Farrar, M.D.

  • Anesthesiology Physician
  • Montclair, NJ
National Provider Identifier
1245288273
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D03604000 Issued in NJ
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

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104773596MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031103000293 NJ Practitioner - Anesthesiology 3678485257 Reassigns benefits to 2 organizations
I20050914000524 MI Practitioner - Anesthesiology 3678485257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia of New Jersey LLCGroup PAC ID 5890867410, 156 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D03604000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grayling Anesthesia Associates PC Anesthesiology CurrentSince Jul 18, 2014 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Mar 26, 2007 Accepting new patients
Atlanticare Regional Medical Center Anesthesiology CurrentSince Mar 26, 2007 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Sep 15, 2019 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.