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
Fax: (201) 445-4209
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285695015 NPPES
New Jersey MEDICAID 4727100

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