Active NPI
Fiona A. Farquharson
- Psychiatric/Mental Health Nurse Practitioner
- Roselle, NJ
National Provider Identifier
1336809144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01238000
- Practice address
- 467 W 6TH Ave
Roselle, NJ 07203-2447 - Phone
- (201) 306-8409
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01238000 | NJ | Primary |
Addresses
Primary practice location
467 W 6TH Ave
Roselle, NJ 07203-2447
Mailing address
467 W 6TH Ave
Roselle, NJ 07203-2447
Phone (201) 306-8409
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260217002210 | NJ | Practitioner - Nurse Practitioner | 0345720470 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01238000 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health - Behavioral Health | Current | Accepting new patients |
Locations
57 Haddonfield Rd
Ste 120
Cherry Hill, NJ 08002
Phone (856) 566-6200
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1336809144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 W 6TH AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072032447",
"telephone_number": "201-306-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 W 6TH AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072032447",
"telephone_number": "201-306-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARQUHARSON",
"first_name": "FIONA",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01238000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.