Dr Alisa Farokhian, MD in Montclair, NJ - Medicare Internal Medicine

Dr Alisa Farokhian, MD is a medicare enrolled "Internal Medicine" physician in Montclair, New Jersey. Her current practice location is 34 Valley Rd Apt 609, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (630) 915-9053.

Dr Alisa Farokhian is licensed to practice in New York (license number 317981) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326603556.

Contact Information

	Dr Alisa Farokhian, MD
	34 Valley Rd Apt 609, Montclair, NJ 07042-2871
	(630) 915-9053
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alisa Farokhian
Gender	Female
Speciality	Internal Medicine
Location	34 Valley Rd Apt 609, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326603556
Provider Enumeration Date: 05/02/2019
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 1759823149
Enrollment ID: I20240613001129

Medical Identifiers

Medical identifiers for Dr Alisa Farokhian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326603556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	317981 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alisa Farokhian allows following entities to bill medicare on her behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alisa Farokhian is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Alisa Farokhian, MD 703 Main St, Paterson, NJ 07503-2621 Ph: (630) 915-9053	Dr Alisa Farokhian, MD 34 Valley Rd Apt 609, Montclair, NJ 07042-2871 Ph: (630) 915-9053

Reviews and Comments

Internal Medicine Doctors in Montclair, NJ

Dr. Ankita Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6196
Kenneth Miller, MD FACC FSCAI Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 62 S Fullerton Ave, Montclair, NJ 07042 Phone: 973-746-8585 Fax: 973-746-0088
Nonkulie Zweli Dladla, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 120 Stonebridge Rd, Montclair, NJ 07042 Phone: 347-277-8324
Joseph Barbagallo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 Union St, Suite 24, Montclair, NJ 07042 Phone: 917-225-4785
Dr. Charles S Goldberg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Pine Street, Montclair, NJ 07042 Phone: 973-233-9559 Fax: 973-233-9660
Michael Jay Yellin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Buckingham Rd, Montclair, NJ 07043 Phone: 973-744-7093 Fax: 203-764-2416
Pooja Mahesh Jotwani, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6196

Dr Alisa Farokhian, MD - Medicare Internal Medicine in Montclair, NJ