Individual provider Active NPI

Nader Fahimi, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wayne, NJ
National Provider Identifier
1346326956
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA07294400 Issued in NJ
Practice address
342 Hamburg Turnpike
Suite 209
Wayne, NJ 07470-1614
Phone
(973) 956-8100
Fax
(973) 956-8104
NPI assigned
Oct 27, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA07294400 NJ Primary

Addresses

Primary practice location

342 Hamburg Turnpike
Suite 209
Wayne, NJ 07470-1614

Mailing address

342 Hamburg Turnpike
Suite 209
Wayne, NJ 07470-1614
Phone (973) 956-8100

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
I20041011000037 NJ Practitioner - Orthopedic Surgery 9931168374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Orthopedics and Sports Medicine PAGroup PAC ID 9234216284, 3 clinicians

Practice addresses (Care Compare)

342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2166
Phone (973) 513-9646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
9.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
30.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)33
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopedics and Sports Medicine, P.a. Sports Medicine CurrentSince May 15, 2003 Accepting new patients
Biosport Orthopaedic & Sports Medicine Associates, P.a. Past Accepting new patients

Locations

342 Hamburg Tpke
Ste 209
Wayne, NJ 07470
Phone (973) 513-9646

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

Hospital & facility affiliations 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1346326956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TURNPIKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074701614",
            "telephone_number": "973-956-8100",
            "fax_number": "973-956-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TURNPIKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074701614",
            "telephone_number": "973-956-8100",
            "fax_number": "973-956-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIMI",
        "first_name": "NADER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA07294400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.