Active NPI
Kassem A Farhat, DDS
- Dentist
- Belleville, NJ
National Provider Identifier
1619255387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI19576
- Practice address
- 5 Franklin Ave
Suite 108
Belleville, NJ 07109-3532 - Phone
- (973) 751-6600
- Fax
- (973) 751-6364
- NPI assigned
- Jul 29, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DI19576 | NJ | Primary |
Addresses
Primary practice location
5 Franklin Ave
Suite 108
Belleville, NJ 07109-3532
Mailing address
5 Franklin Ave
Suite 108
Belleville, NJ 07109-3532
Phone (973) 751-6600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI19576 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1619255387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FRANKLIN AVE",
"address_2": "SUITE 108",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093532",
"telephone_number": "973-751-6600",
"fax_number": "973-751-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FRANKLIN AVE",
"address_2": "SUITE 108",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093532",
"telephone_number": "973-751-6600",
"fax_number": "973-751-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAT",
"first_name": "KASSEM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI19576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.