Active NPI 1306727946 Individual Practitioner Female Practitioner

Ehsan Farag , AGNP-C

Nurse Practitioner - Gerontology • Vineland, NJ

Professional Overview & Biography Verified Profile Summary

Ehsan Farag, AGNP-C is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Vineland, NJ. Practice services are available at 785 W SHERMAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

785 W Sherman Ave

Vineland, NJ 083606913

Telephone 8564514700

Associated Practice Facility / Clinic

🏢 Community Health Care, Inc. Facility NPI 1568572568

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Vineland, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 7.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Vineland, NJ (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-17

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License NJ 26NJ15466200

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Diane Burt , RN, MSN, APN-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043229883

Registered Nurse, Master of Science in Nursing, APNC

Carol Shenton , ANP

Licensed Practical Nurse

NPI 1043255375

Adult Nurse Practitioner

Kiwuna Owens

Dental Hygienist

NPI 1043621188

Lacey Liles , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1063248326

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Eleni Paradisis , RDH

Dental Hygienist

NPI 1093459216

Registered Dental Hygienist

Marlo Washington L , LCSW

Social Worker - Clinical

NPI 1093533515

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Nurse Practitioner (License #26NJ15466200 in NJ)

✅

NPI Profile Active October 01, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2025

Registered at 785 W SHERMAN AVE, VINELAND, NJ 083606913 (Tel: 8564514700)

📍

Updated Business Mailing Address October 01, 2025

Registered at 785 W SHERMAN AVE, VINELAND, NJ 083606913 (Tel: 9088483860)

👤

Provider Name / Credentials Updated October 01, 2025

Recorded as EHSAN FARAG, AGNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Registered Nurse (License #26NR21787000 in NJ)

🟢

Initial NPI Registration & Enumeration September 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306727946

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 10, 2025

Last Update: November 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

785 W Sherman Ave

Vineland, NJ 083606913

Phone: 9088483860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.