DR. MANOOCHER FATEH (NPI# 1568726438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568726438 |
| Entity Type | Individual |
| Full Name | DR. MANOOCHER FATEH |
| Credential | MD |
| Practice Address |
536 Johnston Drive Watchung NJ 07069 |
| Mailing Address |
536 Johnston Dr Watchung NJ 07069-6444 |
| Practice Telephone | 9084000373 |
| Practice Fax Number | 9082515411 |
| Mailing Telephone | 9084000373 |
| Mailing Fax Number | 9082515411 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 149028-1 | NY | Other Service Providers |
| Street Address |
536 JOHNSTON DRIVE |
| City | WATCHUNG |
| State | NJ |
| Zip Code | 07069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976494 | Revital Eyes Nj Inc | Optometrist | 1515 Rt 22 West, Watchung, NJ 07069 | 2018-03-18 |
| 1336678762 | Dana Silagi | Dentist | 121 Valley Rd, Watchung, NJ 07069 | 2017-06-08 |
| 1295286193 | Pragnesh Patel | Pharmacist | 1501 Us Hwy 22, Walmart Pharmacy, Watchung, NJ 07069 | 2016-10-17 |
| 1457722803 | Ashraf Medical Md.pa | Exclusive Provider Organization | 475 Watchung Ave Suite 8, Watchung, NJ 07069 | 2015-10-12 |
| 1528458288 | Derrell Sloane | Pharmacy Technician | 1155 Rt. 22w, Watchung, NJ 07069 | 2015-02-02 |
| 1841547999 | Stephen John Kustera | Physical Medicine & Rehabilitation | 35 Sequoia Dr., Watchung, NJ 07069 | 2012-08-08 |
| 1609168418 | Renu M Cheng | Physical Therapist | 170 Hill Hollow Road, Watchung, NJ 07069 | 2011-05-11 |
| 1356516173 | Robert Edward Knapp | General Practice | 40 Reynolds Dr, Watchung, NJ 07069 | 2008-04-23 |
| 1104048719 | Jbc Therapeutic Services, Inc. | Social Worker | 786 Mountain Blvd., Suite 102, Watchung, NJ 07069 | 2007-05-03 |
| 1730305491 | Gerri Ricciardi | Dentist | 210 Mountain Blvd., Watchung, NJ 07069 | 2007-04-18 |
| Find all providers in zip 07069 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162656 | Vijaya S Lakshmi-reddy | Specialist | 40 Stirling Rd Ste 205, Surgicare Anesthesia of Central Jersey, Watchung, NJ 07069-5900 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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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.