Provider Demographics
NPI:1205924248
Name:FARKAS, JOHN J (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:FARKAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1130 MCBRIDE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3806
Mailing Address - Country:US
Mailing Address - Phone:973-785-2277
Mailing Address - Fax:973-785-2355
Practice Address - Street 1:842 CLIFTON AVE STE 6
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1800
Practice Address - Country:US
Practice Address - Phone:973-777-5717
Practice Address - Fax:201-632-4815
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2017-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA48276207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0554214OtherGHI PPO
NJ5V9731OtherBC BS OF NY 716 BROAD ST.
NJ0115607000OtherAMERIHEALTH
NJ1694804Medicaid
NJ3K8631OtherHEALTHNET
NJ398180OtherWELLCARE
NJ5V9732OtherBC BS OF NJ SUITE 102 W. PATERSON
NJP3929819OtherOXFORD
NJ536542Medicare PIN
NJ0554214OtherGHI PPO
NJ5V9732OtherBC BS OF NJ SUITE 102 W. PATERSON