Organization Active NPI

Farhad Rafizadeh, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Morristown, NJ
National Provider Identifier
1508902792
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA03770300 Issued in NJ
Legal business name
FARHAD RAFIZADEH, M.D.
Practice address
101 Madison Ave
Suite 105
Morristown, NJ 07960-7357
Phone
(073) 267-0928
Fax
(973) 267-6960
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Farhad Rafizadeh, MDNPI 1770559064
Title
Owner
Phone
(073) 267-0928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 25MA03770300 NJ Primary

Addresses

Primary practice location

101 Madison Ave
Suite 105
Morristown, NJ 07960-7357

Mailing address

101 Madison Ave
Suite 105
Morristown, NJ 07960-7357
Phone (073) 267-0928

Other identifiers 1

IdentifierTypeStateIssuer
1770559064OtherNJNATIONAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1508902792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE",
            "address_2": "SUITE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607357",
            "telephone_number": "073-267-0928",
            "fax_number": "973-267-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE",
            "address_2": "SUITE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607357",
            "telephone_number": "073-267-0928",
            "fax_number": "973-267-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD RAFIZADEH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "RAFIZADEH",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "073-267-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA03770300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1770559064",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.