Individual provider Active NPI

Farkhanda Izhar Farooqi, DNP AGPCNP- BC PMHNP

  • Child & Adolescent Psychiatry Physician
  • Bernardsville, NJ
National Provider Identifier
1295226322
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
26NJ00841200 Issued in NJ
Practice address
477 Mine Brook Rd
Bernardsville, NJ 07924-2007
Phone
(201) 744-1391
Fax
(908) 502-5791
NPI assigned
May 24, 2018
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 308691 NY
Child & Adolescent Psychiatry Physician 2084P0804X 26NJ00841200 NJ Primary

Addresses

Primary practice location

477 Mine Brook Rd
Bernardsville, NJ 07924-2007

Mailing address

477 Mine Brook Rd
Bernardsville, NJ 07924-2007
Phone (201) 744-1391

Other practice location 1

477 Mine Brook Rd
Bernardsville, NJ 07924-2007
Phone (201) 744-1391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190228002252 NJ Practitioner - Nurse Practitioner 4082831557 Reassigns benefits to 6 organizations
I20220928003847 NY Practitioner - Nurse Practitioner 4082831557 Reassigns benefits to 1 organization
I20221109001377 FL Practitioner - Nurse Practitioner 4082831557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

477 Mine Brook Rd
Bernardsville, NJ 07924-2007
Phone (201) 744-1391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00841200NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRMX Bridge to Care LLC CurrentSince Dec 1, 2022 Accepting new patients
F Farooqi DNP, LLC Child & Adolescent Psychiatry CurrentSince Dec 20, 2023 Accepting new patients
Yogi Medical Care Inc CurrentSince May 1, 2023 Accepting new patients
Fairlawn Behavioral Associates LLC CurrentSince Jan 21, 2019 Accepting new patients
Bergen Psychiatric Associates CurrentSince May 1, 2020 Accepting new patients
SM Medical, LLC CurrentSince Dec 1, 2024 Accepting new patients
Columbus Hospital Ltach LLC Past Accepting new patients

Locations

135 Bloomfield Ave
Ste F
Bloomfield, NJ 07003
Phone (862) 213-0033

15-01 Broadway
Ste 6
Fair Lawn, NJ 07410
Phone (201) 342-4004

294 State St
Ste 2
Hackensack, NJ 07601
Phone (201) 342-4004

142 Palisade Ave
Ste 219
Jersey City, NJ 07306
Phone (201) 360-3192

550 Summit Ave
Ste B1
Jersey City, NJ 07306
Phone (201) 209-1802

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1295226322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242007",
            "telephone_number": "201-744-1391",
            "fax_number": "908-502-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242007",
            "telephone_number": "201-744-1391",
            "fax_number": "908-502-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Mine Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Bernardsville",
            "state": "NJ",
            "postal_code": "079242007",
            "country_code": "US",
            "telephone_number": "201-744-1391",
            "fax_number": "908-502-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "FARKHANDA",
        "middle_name": "IZHAR",
        "name_prefix": "Dr.",
        "credential": "DNP AGPCNP- BC PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "308691",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "26NJ00841200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

Verify at the official NPI Registry.