Fred Rezvani
Fred Rezvani is a Specialist in Ridgewood, NJ, registered under NPI 1104887694.
Getting there
The practice address on file is 119 PROSPECT ST 1ST FLOOR SUITE 1, Ridgewood, NJ 07450. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MA05115800 | NJ | Specialist primary |
This provider holds licence 25MA05115800 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Specialist covers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NUCC Health Care Provider Taxonomy, code 174400000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104887694 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 1, 2006 |
| Last updated | May 6, 2025 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
119 PROSPECT ST 1ST FLOOR SUITE 1 Ridgewood, NJ 07450 (201) 444-1600 Fax (201) 444-8774 |
| Other identifiers |
30G161
· EMPIRE BC/BS OF NY (NJ) 4226530 · AETNA PPO # (NJ) 0K6927 · HEALTHNET # (NJ) BP204 · OXFORD ID# (NJ) 0562861001 · AMERIHEALTH # (NJ) 0028398 · AETNA HMO # (NJ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 8 | 7 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 8 | 5 | 6 | 9 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.