Active NPI
Deja L Farley
- Prosthetics Case Management
- Roselle, NJ
National Provider Identifier
1871064477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 32WG05998200
- Practice address
- 370 W 4TH Ave
Roselle, NJ 07203-1138 - Phone
- (908) 868-4079
- NPI assigned
- Dec 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 32WG05998200 | NY | Primary |
Addresses
Primary practice location
370 W 4TH Ave
Roselle, NJ 07203-1138
Mailing address
370 W 4TH Ave
Roselle, NJ 07203-1138
Phone (908) 868-4079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32WG05998200 | NY | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1871064477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 W 4TH AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031138",
"telephone_number": "908-868-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 W 4TH AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031138",
"telephone_number": "908-868-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "DEJA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-09",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NY",
"license": "32WG05998200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.