Individual provider Active NPI

Fazal Bari, M.D.

  • Hematology (Internal Medicine) Physician
  • Mountain Lakes, NJ
National Provider Identifier
1407965775
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
25MA06960900 Issued in NJ
Practice address
333 Route 46 W
Mountain Lakes, NJ 07046-1743
Phone
(973) 316-1701
Fax
(973) 316-1708
NPI assigned
Aug 30, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 25MA06960900 NJ Primary
Medical Oncology Physician 207RX0202X 25MA06960900 NJ
Hematology & Oncology Physician 207RH0003X MA69609 NJ

Addresses

Primary practice location

333 Route 46 W
Mountain Lakes, NJ 07046-1743

Mailing address

333 Route 46 West
Mountain Lakes, NJ 07046-1723
Phone (973) 316-1701

Other identifiers 1

IdentifierTypeStateIssuer
8227900MedicaidNJ

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
I20101221000351 NJ Practitioner - Hematology/Oncology 9739078429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology and Hematology Specialists,P.a.Group PAC ID 9638068315, 5 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Suite 3101
Morristown, NJ 07960-6136
Phone (973) 267-9543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.4 of 100Reported as individual
Quality
61.28
Promoting interoperability
77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69609NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Brain and Spine LLC CurrentSince Jan 31, 2024 Accepting new patients
Oncology & Hematology Specialists,P.a. Hematology & Oncology CurrentSince Aug 25, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Madison Ave
Ste 3101
Morristown, NJ 07960
Phone (973) 267-9543

333 US Highway 46
Mountain Lakes, NJ 07046
Phone (973) 316-1701

333 Route 46 W
Ste 205
Mountain Lks, NJ 07046
Phone (973) 316-1701

Organizations & group practices 3

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1407965775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ROUTE 46 WEST",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461723",
            "telephone_number": "973-316-1701",
            "fax_number": "973-316-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROUTE 46 W",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "973-316-1701",
            "fax_number": "973-316-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARI",
        "first_name": "FAZAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NJ",
            "license": "25MA06960900",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MA06960900",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA69609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8227900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.