Forrayan LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MB08310400 Issued in NJ

Legal business name

FORRAYAN LLC

Practice address

1416 Park Ave
Plainfield, NJ 07060-2911

Phone

(909) 757-6363

Fax

(908) 754-6807

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh T Patel, D.O.NPI 1851585863

Title

Owner

Phone

(908) 757-6363

Specialties & licenses 1

Addresses

Other names 1

• Family Doctors Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh T Patel, D.O.

  • Family Medicine Physician
  • Plainfield, NJ
  • NPI 1851585863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1346594892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "909-757-6363",
            "fax_number": "908-754-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "909-757-6363",
            "fax_number": "908-754-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORRAYAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-757-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MB08310400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Doctors Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.