Individual provider Active NPI

Farida Iqbal-Hussain, MD

  • Psychiatry Physician
  • West Orange, NJ
National Provider Identifier
1710037593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07977700 Issued in NJ
Practice address
136 Main St
West Orange, NJ 07052-5605
Phone
(973) 736-3625
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

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
Psychiatry Physician 2084P0800X 25MA07977700 NJ Primary

Addresses

Primary practice location

136 Main St
West Orange, NJ 07052-5605

Mailing address

136 Main St
West Orange, NJ 07052-5605
Phone (973) 736-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090218000077 NJ Practitioner - Psychiatry 4385709815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07977700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatry CurrentSince Sep 17, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 25, 2021 Accepting new patients
Veteran Hospital Past Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • Direct secure messaging: farida.iqbalhussain.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710037593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525605",
            "telephone_number": "973-736-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525605",
            "telephone_number": "973-736-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL-HUSSAIN",
        "first_name": "FARIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07977700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.