MRS. EHSAN FARAG AGNP-C - NPI 1306727946 - Nurse Practitioner in Vineland, NJ

Q: What is Ehsan Farag's NPI number?

The NPI number for Ehsan Farag is 1306727946. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Q: What is Ehsan Farag's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Ehsan Farag was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Ehsan Farag Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EHSAN FARAG AGNP-C (NPI 1306727946) is an individual gerontology provider in Vineland, New Jersey, licensed in New Jersey (26NJ15466200) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1306727946

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. EHSAN FARAGCredential: AGNP-C

Location Address785 W SHERMAN AVEVineland, NJ 08360-6913

Mailing Address785 W Sherman AveVineland, NJ 08360-6913 · (908) 848-3860

Phone(856) 451-4700

Sole ProprietorNo

Enumeration DateSeptember 10, 2025

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1306727946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15466200

785 W SHERMAN AVE, Vineland, NJ 08360

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENI PARADISIS RDH

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