MEDICARE: DR. FARAH AHMEDI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB09600200	NJ

General Provider Information

NPI Number	:	1609038462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARAH AHMEDI D.O.

Provider Business Mailing Address
First Line	:	445 WHITEHORSE AVE
Second Line	:	STE 202
City	:	HAMILTON
State	:	NJ
Zip	:	08610
Country	:	US
Telephone Number	:	609-585-1122
Fax Number	:	609-585-0309

Provider Business Practice Location Address
First Line	:	445 WHITE HORSE AVE
Second Line	:	SUITE 202
City	:	HAMILTON
State	:	NJ
Zip	:	08610-1408
Country	:	US
Telephone Number	:	609-585-1122
Fax Number	:	609-585-0309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	05/22/2025

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