Organization Active NPI

Raymond T. Hajjar, D.O. and Christopher Lumley, D.O., P.C.

  • Plastic Surgery Physician
  • Bingham Farms, MI
National Provider Identifier
1679763288
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
5101010632 Issued in MI
Legal business name
RAYMOND T. HAJJAR, D.O. AND CHRISTOPHER LUMLEY, D.O., P.C.
Practice address
31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363
Phone
(248) 208-8844
Fax
(248) 208-1750
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Raymond T. Hajjar Jr., D.O.NPI 1447280110
Title
Owner
Phone
(248) 208-8844

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 5101010632 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363

Mailing address

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363
Phone (248) 208-8844

Other identifiers 1

IdentifierTypeStateIssuer
3171235-11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000540 MI Part B Supplier - Clinic/Group Practice 2062507395 Receives reassigned benefits from 2 practitioners
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025
Phone (248) 208-8844

29877 Telegraph Rd
Ste 107
Southfield, MI 48034
Phone (248) 355-9911

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1679763288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD",
            "address_2": "STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254363",
            "telephone_number": "248-208-8844",
            "fax_number": "248-208-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD",
            "address_2": "STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254363",
            "telephone_number": "248-208-8844",
            "fax_number": "248-208-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND T. HAJJAR, D.O. AND CHRISTOPHER LUMLEY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-208-8844",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "5101010632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171235-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.