Individual provider Active NPI

Farhad Rafizadeh, M.D.

  • Plastic Surgery Physician
  • Morristown, NJ
National Provider Identifier
1770559064
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA03770300 Issued in NJ
Practice address
101 Madison Ave
Suite 105
Morristown, NJ 07960-7357
Phone
(973) 267-0928
Fax
(973) 267-6960
NPI assigned
Feb 27, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA03770300 NJ Primary

Addresses

Primary practice location

101 Madison Ave
Suite 105
Morristown, NJ 07960-7357

Mailing address

101 Madison Ave
Suite 105
Morristown, NJ 07960-7357
Phone (973) 267-0928

Medicare participation

Medicare enrollment files
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
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03770300NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andre Rafizadeh, MD P.C. Past Accepting new patients
Farhad Rafizadeh, M.D. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1770559064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE",
            "address_2": "SUITE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607357",
            "telephone_number": "973-267-0928",
            "fax_number": "973-267-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE",
            "address_2": "SUITE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607357",
            "telephone_number": "973-267-0928",
            "fax_number": "973-267-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIZADEH",
        "first_name": "FARHAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03770300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.