Active NPI
Jeffrey N Farber, M.D.
- Dermatology Physician
- Plymouth, MA
National Provider Identifier
1497774962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 49904
- Practice address
- 345 Court St
Suite 201
Plymouth, MA 02360-4329 - Phone
- (508) 746-5300
- Fax
- (508) 747-2001
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 49904 | MA | Primary |
Addresses
Primary practice location
345 Court St
Suite 201
Plymouth, MA 02360-4329
Mailing address
345 Court St
Suite 201
Plymouth, MA 02360-4329
Phone (508) 746-5300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J05551 | Other | MA | BLUE CROSS NUMBER |
| 070011628 | Other | MA | INDIVIDUAL RAILROAD MEDICARE |
| 712155 | Other | MA | TUFTS PROVIDER NUMBER |
| 4081 | Other | MA | HARVARD PILGRIM NUMBER |
| 03-00010 | Other | MA | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Dermatology Specialists PLLC | Dermatology | Current | Accepting new patients |
Locations
345 Court St
Ste 201
Plymouth, MA 02360
Phone (508) 746-5300
Organizations & group practices 1
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.
-
- Dermatology Physician
- Plymouth, MA
- NPI 1417741414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1497774962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 COURT ST",
"address_2": "SUITE 201",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604329",
"telephone_number": "508-746-5300",
"fax_number": "508-747-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 COURT ST",
"address_2": "SUITE 201",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604329",
"telephone_number": "508-746-5300",
"fax_number": "508-747-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARBER",
"first_name": "JEFFREY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "49904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "J05551",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL RAILROAD MEDICARE",
"identifier": "070011628",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER NUMBER",
"identifier": "712155",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM NUMBER",
"identifier": "4081",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "03-00010",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.