Active NPI
Richard Alan Fain, M.D.
- Specialist
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03060400
- Practice address
- 22 Old Short Hills Rd
Suite 112
Livingston, NJ 07039-5604 - Phone
- (973) 740-1330
- Fax
- (973) 740-1394
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03060400 | NJ | Primary |
Addresses
Primary practice location
22 Old Short Hills Rd
Suite 112
Livingston, NJ 07039-5604
Mailing address
227 Laurel Rd
Suite 300
Voorhees, NJ 08043-8303
Phone (856) 669-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03060400 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Women's Health Group, LLC | Current | Accepting new patients | |
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| Edmund S. Liu, MD, PA | Past | Accepting new patients |
Locations
338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838
22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185
312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
Organizations & group practices 3
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.
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
-
- Facial Plastic Surgery Physician
- Verona, NJ
- NPI 1053430264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1962576918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 LAUREL RD",
"address_2": "SUITE 300",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080438303",
"telephone_number": "856-669-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 OLD SHORT HILLS RD",
"address_2": "SUITE 112",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395604",
"telephone_number": "973-740-1330",
"fax_number": "973-740-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03060400",
"primary": true
}
],
"identifiers": [],
"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 Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.