HOMAYOON HATEFI M.D. PA (NPI# 1346426087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346426087 |
| Entity Type | Organization |
| Organization Name | HOMAYOON HATEFI M.D. PA |
| Practice Address |
145 Prospect St Ridgewood NJ 07450-4493 |
| Practice Telephone | 2014457776 |
| Practice Fax Number | 2014454209 |
| Mailing Telephone | 2014457776 |
| Mailing Fax Number | 2014454209 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | HOMAYOON HATEFI (PRESIDENT) |
| Authorized Official Telephone | 2014457776 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
145 PROSPECT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450 | 2006-03-31 |
| 1134463409 | Lsa Surgery & Consultation PC | Clinic/Center | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2012-11-26 |
| 1053621318 | M.a. Ferrer Physical Therapy LLC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-10-20 |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-08-02 |
| 1558484923 | Marie Angelie Ferrer | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2007-04-09 |
| 1649386020 | Michael Peter Gentile Sr. | Psychiatry & Neurology | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-08-21 |
| 1699704536 | North Jersey Surgical Associates, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-07-02 |
| 1306891031 | Youngick Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 Prospect St, Ridgewood, NJ 07450 | 2006-05-23 |
| 1477502078 | New Jersey Breast Diagnostic Center, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-05-09 |
| 1972565984 | Nino J Carnevale | Surgery | 145 Prospect St, Ridgewood, NJ 07450 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912014887 | Anna M Korkis | Internal Medicine | 206 Dayton St, Ridgewood, NJ 07450-4409 | 2006-08-24 |
| 1689653909 | Jeffrey Brian Danzig | Internal Medicine | 127 Union St, Ridgewood, NJ 07450-4478 | 2006-01-13 |
| 1629357835 | Jennifer Hsieh | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2011-08-05 |
| 1144528142 | Anna M. Korkis Md Pa | Internal Medicine | 206 Dayton St, Ridgewood, NJ 07450-4409 | 2011-03-01 |
| 1275865461 | Jeffrey B Danzig Md PC | Internal Medicine | 127 Union St, Ridgewood, NJ 07450-4478 | 2010-02-12 |
| 1275862732 | Jay Paul Babich | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2009-12-12 |
| 1023296407 | Gastrointestinal Associates Pa | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2008-02-07 |
| 1902856099 | Haleh Pazwash | Internal Medicine | 1124 E Ridgewood Ave, Suite 203, Ridgewood, NJ 07450-3915 | 2006-05-11 |
| 1942250345 | Mitchell J Rubinoff | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2006-05-10 |
| 1902856313 | Michael G Rahmin | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2006-05-10 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.