Individual provider Active NPI

Ziba Rahjoi Monfared, MD

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1467449074
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD425165 Issued in PA
Practice address
2450 Butler St
Easton, PA 18042-5303
Phone
(610) 991-3136
Fax
(610) 991-3137
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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 MD425165 PA Primary

Addresses

Primary practice location

2450 Butler St
Easton, PA 18042-5303

Mailing address

PO Box 758952
Baltimore, MD 21275-8952
Phone (804) 968-5700

Other identifiers 3

IdentifierTypeStateIssuer
P006796OtherGATEWAY
2353688000OtherIBC
1679717OtherHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050217000716 PA Practitioner - Family Practice 2668424631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Northampton St
Easton, PA 18042-4152
Phone (484) 544-3113

1210 E 4TH St
Bethlehem, PA 18015-2016
Phone (484) 408-0755

124 N 14TH St
Easton, PA 18042-3218
Phone (610) 438-0102

160 Hamilton St
Allentown, PA 18101-1948
Phone (610) 477-0105

218 N 2ND St
Allentown, PA 18102-3508
Phone (610) 841-8400

635 E Broad St
Bethlehem, PA 18018-6332
Phone (610) 984-1380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425165PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Monfared Primary Care LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

124 N 14th St
Easton, PA 18042
Phone (610) 258-9091

Interoperability endpoints

  • Direct secure messaging: ziba.monfared.1@21036.direct.athenahealth.com
  • Direct secure messaging: ziba.monfared.1@31290.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1467449074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758952",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758952",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425303",
            "telephone_number": "610-991-3136",
            "fax_number": "610-991-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFARED",
        "first_name": "ZIBA",
        "middle_name": "RAHJOI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD425165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P006796",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2353688000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1679717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.