1063212561 NPI number — DR. JOHN EDWARD FAREY MBBS (HONS) FRACS

Table of content: DR. JOHN EDWARD FAREY MBBS (HONS) FRACS (NPI 1063212561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063212561 NPI number — DR. JOHN EDWARD FAREY MBBS (HONS) FRACS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FAREY
Provider First Name:
JOHN
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MBBS (HONS) FRACS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063212561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
313 YOUNG ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANNANDALE
Provider Business Mailing Address State Name:
NSW
Provider Business Mailing Address Postal Code:
02038
Provider Business Mailing Address Country Code:
AU
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
313 YOUNG ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNANDALE
Provider Business Practice Location Address State Name:
NSW
Provider Business Practice Location Address Postal Code:
02038
Provider Business Practice Location Address Country Code:
AU
Provider Business Practice Location Address Telephone Number:
614-199-8759
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MED0002001528 . This is a "AUSTRALIAN HEALTH PRACTITIONER REGULATION AUTHORITY" identifier . This identifiers is of the category "OTHER".




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