Active NPI
Naomi Tiefenbrunn
- Physician Assistant
- Lakewood, NJ
National Provider Identifier
1932346194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00221700
- Practice address
- 1771 Madison Ave
Lakewood, NJ 08701-1242 - Phone
- (732) 364-2144
- NPI assigned
- Jan 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MP00210700 | NY | |
| Physician Assistant | 363A00000X | 25MP00221700 | NJ | Primary |
Addresses
Primary practice location
1771 Madison Ave
Lakewood, NJ 08701-1242
Mailing address
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144
Other practice location 1
40 Bey Lea Road
Ste B203
Toms River, NJ 08753
Phone (732) 341-0720
Other names 1
- Naomi Sarfaty
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00210700 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center Inc | Past | Accepting new patients |
Interoperability endpoints
- naomi.tiefenbrunn@chemed.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1932346194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011242",
"telephone_number": "732-364-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011242",
"telephone_number": "732-364-2144"
}
],
"practiceLocations": [
{
"address_1": "40 Bey Lea Road",
"address_2": "Ste B203",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "08753",
"country_code": "US",
"telephone_number": "732-341-0720",
"fax_number": "732-244-6842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEFENBRUNN",
"first_name": "NAOMI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-09",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "25MP00210700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00221700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAOMI",
"last_name": "SARFATY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.