NPIMap

Individual provider Active NPI

Frederick F Fakharzadeh, M.D.

  • Orthopaedic Hand Surgery Physician
  • Paramus, NJ
National Provider Identifier
1497790067
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA04750600 Issued in NJ
Practice address
22 Madison Ave
3Rd Floor
Paramus, NJ 07652-2734
Phone
(201) 587-7767
Fax
(201) 587-8090
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA04750600 NJ Primary

Addresses

Primary practice location

22 Madison Ave
3Rd Floor
Paramus, NJ 07652-2734

Mailing address

22 Madison Ave
3Rd Floor
Paramus, NJ 07652-2734
Phone (201) 587-7767

Other identifiers 1

IdentifierTypeStateIssuer
1383701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000166 NJ Practitioner - Hand Surgery 5799819710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Columbia University College of Physicians and Surgeons, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Garden State Orthopaedic Associates, PAGroup PAC ID 0941257158, 16 clinicians

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as individual
Quality
76.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Orthopaedic Associates, P.a. Hand Surgery CurrentSince Dec 1, 2018 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Dec 1, 2018 Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients
Garden State Orthopaedic Associates, P.a. Hand Surgery Past Accepting new patients
Garden State Orthopaedic Associates, P.a. Hand Surgery Past Accepting new patients
Wing Eyecare, Inc Past Accepting new patients

Locations

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

400 Franklin Tpke
Ste 112
Mahwah, NJ 07430
Phone (201) 825-2266

22 Madison Ave
Ste 202
Paramus, NJ 07652
Phone (201) 556-0006

Interoperability endpoints

  • Direct secure messaging: ffakharzadeh189641@ahs.direct-ci.com

Organizations & group practices 6

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 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1497790067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522734",
            "telephone_number": "201-587-7767",
            "fax_number": "201-587-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522734",
            "telephone_number": "201-587-7767",
            "fax_number": "201-587-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHARZADEH",
        "first_name": "FREDERICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA04750600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1383701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.