Individual provider Active NPI

Gary S Safier, DO

  • Family Medicine Physician
  • Randolph, NJ
National Provider Identifier
1558478529
Registry record updated Nov 18, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB02393Z Issued in NJ
Practice address
477 RT 10 E
St 204
Randolph, NJ 07869
Phone
(973) 989-1515
Fax
(973) 989-4334
NPI assigned
Aug 24, 2006
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 MB02393Z NJ Primary

Addresses

Primary practice location

477 RT 10 E
St 204
Randolph, NJ 07869

Mailing address

477 St RT 10 E
Ste 204
Randolph, NJ 07869-2143
Phone (973) 989-1515

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB02393ZNJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Otolaryngology PC Past Accepting new patients
Rahway Medical and Nephrology P.a. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1558478529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ST RT 10 E",
            "address_2": "STE 204",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692143",
            "telephone_number": "973-989-1515",
            "fax_number": "973-989-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 RT 10 E",
            "address_2": "ST 204",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-989-1515",
            "fax_number": "973-989-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIER",
        "first_name": "GARY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB02393Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.