STEPHAN JOSEPH DORKHOM


Address: 234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2149
Phone: 9733100309

STEPHAN JOSEPH DORKHOM (NPI# 1578872776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578872776
Entity Type Individual
Full Name STEPHAN JOSEPH DORKHOM
Credential D.O.
Practice Address 234 Hamburg Tpke Ste 202
Wayne
NJ 07470-2149
Practice Telephone 9733100309
Mailing Telephone 9733100309
Enumeration Date 2010-10-05
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine N7694 TX Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
N7694 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ HORIZON NJ HEALTH 60168529 01
TX FIRSTCARE 950006100 01
NJ 0546747 05
TX BCBS 8DV048 01
NM 75902036 05
TX 218174502 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4101 22nd Pl, Lubbock, TX 794101121 8067258000 8067236031

Office Location

Street Address 234 HAMBURG TPKE STE 202
City WAYNE
State NJ
Zip Code 07470-2149

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235260704 Wayne Hematology Oncology Associates P C Internal Medicine 468 Parish Dr Ste 4, Wayne, NJ 07470-4671 2007-03-08
1902852858 Horizon Hematology/oncology Corp Internal Medicine 508 Hamburg Tpke, Suite 202, Wayne, NJ 07470-8482 2006-05-25
1689635286 Reyad Mohsen Internal Medicine 508 Hamburg Tpke, Suite 202, Wayne, NJ 07470-8482 2006-03-31
1619952181 Harish H Shah Internal Medicine 468 Parish Dr, Suite 4, Wayne, NJ 07470-4671 2005-12-07
1982688925 Vijay Roy Internal Medicine 468 Parish Dr, Suite 4, Wayne, NJ 07470-4671 2005-12-02
1932193521 Harvey Cooper Internal Medicine 220 Hamburg Tpke, Ste G3, Wayne, NJ 07470-2110 2005-09-09

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NPI Name Taxonomy Address Enumeration
1356976948 Regional Cancer Care Associates LLC Internal Medicine 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 2020-03-04
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1801451679 Coastal Hematology & Oncology Center Professional Corporation Internal Medicine 143 Route 70, Toms River, NJ 08755-0971 2019-05-07
1275098022 Regional Cancer Care Associates LLC Internal Medicine 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 2019-02-06
1194249565 Mohammed Ali Jaloudi Internal Medicine 104 Adams Ct, Edgewater, NJ 07020-1651 2017-07-27
1720454564 Community Cancer Centers of America LLC Internal Medicine 691 State Highway 33, Trenton, NJ 08619 2015-08-17
1194121152 New Era Hemonc LLC Internal Medicine 473 Broadway Ste 411, Bayonne, NJ 07002-3667 2014-11-18
1790188050 Vadim Zarubin Internal Medicine 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 2014-10-01
1932501350 Hematology Oncology Consultants LLC Internal Medicine 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 2014-09-17
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City WAYNE
Zip Code 07470

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Dataset Information

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.

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