FARJANA AZAD (AGACNP-BC) – Gerontology Nurse Practitioner, NPI 1730613993
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,508 NURSE PRACTITIONER in NJ
Provider Addresses for FARJANA AZAD (AGACNP-BC)
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Phone: (551) 996-8100
Type: Location
6850 WYNPINE PT
STONE MOUNTAIN, GA 300875529
Phone: (404) 667-4895
Type: Mailing
3600 ROUTE 66 FL 3
NEPTUNE, NJ 077532645
Phone:
Type: Mailing
11 Upper Riverdale Rd SW
Riverdale, GA 302742615
Phone: (770) 897-7111
Type: Location
6850 Wynpine Pt
Stone Mountain, GA 300875529
Phone: (404) 667-4895
Type: Location
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 302742615
Phone: (770) 897-7111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2023-03-02 • Largest payer in this snapshot: Biogen, Inc. ($87).
Total Amount
$87
General + Research + Ownership
Payments
2
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $87 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230217000580 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Vascular Surgery | NY | |
| Physician Assistant | NJ | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NJ | |
| General Surgery | NJ |
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