Active NPIIndividual provider

Mrs. Ehsan Farag, AGNP-C

Nurse Practitioner, Gerontology in Vineland, New Jersey

NPI Number1306727946
Practice location
785 W Sherman Ave, Vineland, NJ 08360-6913
Fax
—
Last updated
November 17, 2025

Ehsan Farag is a Nurse Practitioner, Gerontology based in Vineland, NJ. Ehsan Farag practices in Vineland, NJ and has the professional credentials of AGNP-C. The NPI Number for Ehsan Farag is 1306727946 and holds a License No. 26NJ15466200 (NJ). The current practice location address for Ehsan Farag is 785 W Sherman Ave, Vineland, NJ 08360-6913 and can be reached out via phone at 856-451-4700.

Provider Profile Details

NPI Number
1306727946
Provider Name
Ehsan Farag
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
785 W Sherman Ave, Vineland, NJ 08360-6913
Phone Number
856-451-4700
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2025
Last Update Date
November 17, 2025
Certification Date
November 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
785 W Sherman Ave
Vineland, NJ 08360-6913
Zip
08360-6913
Phone Number
856-451-4700
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
785 W Sherman Ave
Vineland, NJ 08360-6913
City
Vineland
State
NJ
Zip
08360-6913
Phone Number
908-848-3860

License Information

License Number
26NJ15466200
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Ehsan Farag, AGNP-C?

The NPI number of Mrs. Ehsan Farag, AGNP-C is 1306727946. It was assigned on September 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ehsan Farag, AGNP-C?

Mrs. Ehsan Farag, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ15466200.

Where does Mrs. Ehsan Farag, AGNP-C practice?

The practice location is 785 W Sherman Ave, Vineland, NJ 08360-6913. The office can be reached at 856-451-4700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306727946 directly on the NPPES registry website.

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