Farrokh Shafaie, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA03675000 Issued in NJ

Practice address

33 Overlook Road
Suite 302
Summit, NJ 07901-3563

Phone

(908) 522-1777

Fax

(908) 522-3051

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Med Fem Aesthetic Center

  • Ambulatory Surgical Clinic/Center
  • Summit, NJ
  • NPI 1588762124
  NPD (past)
• NJ Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Summit, NJ
  • NPI 1831298967
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679581524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK ROAD",
            "address_2": "SUITE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-522-1777",
            "fax_number": "908-522-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK ROAD",
            "address_2": "SUITE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-522-1777",
            "fax_number": "908-522-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAIE",
        "first_name": "FARROKH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03675000",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "1452731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aarthi Selvam, MD
• Seth Stoller LLC
• Moksha Seth
• Shivani Sethi, M.D.
• Arathi Setty, MD, MPH
• Arline Davidow Shaffer, PH.D.
• Saima Shafiq, M.D.
• Alpa Niraj Shah, D.O
• Chirag V Shah, MD
• Shahtaj Shah

• Plastic Surgery Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.