Individual provider Active NPI

Allison L Faches, MD

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1336397785
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA064798 Issued in NJ
Practice address
1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838
Phone
(732) 452-0057
Fax
(732) 287-2071
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA064798 NJ Primary

Addresses

Primary practice location

1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838

Mailing address

1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838
Phone (732) 452-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000034 NJ Practitioner - Family Practice 6103812540 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA064798NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allison L Faches MD PA Family Medicine CurrentSince Sep 3, 2003 Accepting new patients

Locations

3900 Park Ave
Ste 104
Edison, NJ 08820
Phone (732) 452-0057

1 Ethel Rd
Ste 107B
Edison, NJ 08817
Phone (732) 287-2020

Interoperability endpoints

  • Direct secure messaging: allisonfaches@mjma.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1336397785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 107B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-452-0057",
            "fax_number": "732-287-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 107B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-452-0057",
            "fax_number": "732-287-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACHES",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA064798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.