Fereydoon Ghobadi, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

MA46248 Issued in NJ

Practice address

504 Valley Rd
Suite 201
Wayne, NJ 07470-3534

Phone

(973) 942-1315

Fax

(973) 942-8724

NPI assigned

May 23, 2006

Last updated

Oct 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elite Surgical Center LLC

  • Clinic/Center
  • Wayne, NJ
  • NPI 1265546691
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1912952607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-942-1315",
            "fax_number": "973-942-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-942-1315",
            "fax_number": "973-942-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBADI",
        "first_name": "FEREYDOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "MA46248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0837903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gerena, OTR/L
• Alexander Gerskowitz, DDS
• Francesca Gervato
• Daiva Gessmann, APN
• Charles G Getzoff, D.D.S.
• Andrea Camille Giardina, MD
• Leslie Ruth Gilbert, PHD
• Patrick N Gilliland, PA-C
• Jeffrey Giordano
• Gameel Girgis, RPH

• Orthopaedic Hand Surgery Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Orthopaedic Hand Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.