Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Fred Rezvani
Specialist in Ridgewood, NJ · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104887694
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Registry record
Entity type Individual (Type 1)
Name Fred Rezvani
Sex Male
Practice address 119 Prospect St, 1st Floor Suite 1, Ridgewood, NJ, 07450
Phone (201) 444-1600
Fax (201) 444-8774
Enumeration date Apr 1, 2006
Last updated in NPPES May 6, 2025
Taxonomy & licenses
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30G161 | Other | NJ | EMPIRE BC/BS OF NY |
| 4226530 | Other | NJ | AETNA PPO # |
| 0K6927 | Other | NJ | HEALTHNET # |
| BP204 | Other | NJ | OXFORD ID# |
| 0562861001 | Other | NJ | AMERIHEALTH # |
| 0028398 | Other | NJ | AETNA HMO # |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Fred Rezvani's NPI record?
Cross-check NPI 1104887694 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104887694 active?
Yes, as of the latest NPPES snapshot, NPI 1104887694 is active (record last updated 2025-05-06).
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.