Organization Active NPI

Fares Surgical Associates, PA

  • Surgery Physician
  • Trenton, NJ
National Provider Identifier
1629024757
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FARES SURGICAL ASSOCIATES, PA
Practice address
1345 Kuser Rd
Suite 1
Trenton, NJ 08619-3823
Phone
(609) 585-1400
Fax
(609) 585-2988
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Louis G Fares II, MDNPI 1417903998
Title
President
Phone
(609) 585-1400

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1345 Kuser Rd
Suite 1
Trenton, NJ 08619-3823

Mailing address

1345 Kuser Rd
Suite 1
Trenton, NJ 08619-3823
Phone (609) 585-1400

Other identifiers 1

IdentifierTypeStateIssuer
0073417001OtherNJAMERIHEALTH GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1 AAA Dr
Ste 201
Hamilton, NJ 08691
Phone (609) 585-1400

Practitioners & affiliated clinicians

Practitioners 6

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629024757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 KUSER RD",
            "address_2": "SUITE 1",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193823",
            "telephone_number": "609-585-1400",
            "fax_number": "609-585-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 KUSER RD",
            "address_2": "SUITE 1",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193823",
            "telephone_number": "609-585-1400",
            "fax_number": "609-585-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARES SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-585-1400",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "0073417001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.