Individual provider Active NPI

Farheen Fahim, M.D.

  • Psychiatry Physician
  • Livingston, NJ
National Provider Identifier
1730257502
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07914800 Issued in NJ
Practice address
107 East Mt. Pleasant Avenue
Suite 107
Livingston, NJ 07039-3027
Phone
(973) 535-3999
Fax
(973) 535-3222
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07914800 NJ
Psychiatry Physician 2084P0800X 25MA07914800 NJ Primary

Addresses

Primary practice location

107 East Mt. Pleasant Avenue
Suite 107
Livingston, NJ 07039-3027

Mailing address

107 E Mount Pleasant Ave
Suite 1
Livingston, NJ 07039-3027
Phone (973) 535-3999

Other identifiers 1

IdentifierTypeStateIssuer
1804483MedicaidPA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07914800NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare, LLC Child & Adolescent Psychiatry Past Accepting new patients
Atlantic Healthcare, LLC Psychiatry PastSince Feb 11, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ffahim59303@epicdirect.rwjbh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1730257502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MOUNT PLEASANT AVE",
            "address_2": "SUITE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393027",
            "telephone_number": "973-535-3999",
            "fax_number": "973-535-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EAST MT. PLEASANT AVENUE",
            "address_2": "SUITE 107",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393027",
            "telephone_number": "973-535-3999",
            "fax_number": "973-535-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIM",
        "first_name": "FARHEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07914800",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07914800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804483",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.