Individual provider Active NPI

Negin Noorchashm Griffith, M.D.

  • Plastic Surgery Physician
  • Holmdel, NJ
National Provider Identifier
1588778096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08127300 Issued in NJ
Practice address
721 N Beers St
Suite 2B
Holmdel, NJ 07733-1518
Phone
(732) 335-0335
Fax
(732) 335-0338
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA08127300 NJ Primary

Addresses

Primary practice location

721 N Beers St
Suite 2B
Holmdel, NJ 07733-1518

Mailing address

7 Stillwell Dr
Holmdel, NJ 07733-1927
Phone (732) 946-2789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2010 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08127300NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avicenna Plastic Surgery, LLC Plastic Surgery Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588778096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STILLWELL DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331927",
            "telephone_number": "732-946-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "SUITE 2B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-335-0335",
            "fax_number": "732-335-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "NEGIN",
        "middle_name": "NOORCHASHM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08127300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.