IYAD MAHMOUD FAROUJI MD
NPI 1740833649
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since July 19, 2019PECOS Enrolled
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Iyad Mahmoud Farouji Md NPPES

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

IYAD MAHMOUD FAROUJI MD (NPI 1740833649) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740833649
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIYAD MAHMOUD FAROUJICredential: MD
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address111 Central AveNewark, NJ 07102-1909 · (973) 877-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 19, 2019
✔ NPI 1740833649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 CENTRAL AVE, Newark, NJ 07102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iyad Mahmoud Farouji Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820555253
PECOS Enrollment IDI20260805004802
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Iyad Farouji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
3311 E MURDOCK ST
Wichita, KS 67208
  • Reassigned Medicare billing, Kansas enrollment
  • 210 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iyad Farouji's NPI number?

The NPI number for Iyad Farouji is 1740833649. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Iyad Farouji located?

Iyad Farouji practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Iyad Farouji's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Iyad Farouji enrolled in Medicare?

Yes. Iyad Farouji is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Iyad Farouji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iyad Farouji reassigns Medicare benefits to Ascension Medical Group Via Christi, PA (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Iyad Farouji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iyad Farouji accept?

Health plans from UnitedHealthcare list Iyad Farouji as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iyad Farouji was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.