Provider Demographics
NPI:1760547707
Name:PAIGE APPLEBAUM FARKAS MD PA
Entity Type:Organization
Organization Name:PAIGE APPLEBAUM FARKAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-493-1717
Mailing Address - Street 1:1200 EAST RIDGEWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450
Mailing Address - Country:US
Mailing Address - Phone:201-493-1717
Mailing Address - Fax:201-493-1009
Practice Address - Street 1:1200 EAST RIDGEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-493-1717
Practice Address - Fax:201-493-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty