Hatefi, Homayoon
Hatefi, Homayoon is an individual health care provider with primary practice located at 145 Prospect St , Ridgewood NJ 07450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hatefi, Homayoon can be contacted via phone (201) 445-7776.Contact Information
Primary practice address
145 Prospect St
Ridgewood NJ 07450
Phone: (201) 445-7776
Fax: (201) 445-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 137050 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA32611 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9325 | District of Columbia |
Profile Details
| NPI number | 1285695015 |
|---|---|
| LBN Legal business name | Hatefi, Homayoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285695015 | NPPES |
| New Jersey | MEDICAID | 4727100 |
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