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).
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 |
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4101 22nd Pl, Lubbock, TX 794101121 | 8067258000 | 8067236031 |
Street Address |
234 HAMBURG TPKE STE 202 |
City | WAYNE |
State | NJ |
Zip Code | 07470-2149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
Find all providers in zip 07470 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
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 |
1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
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 |
1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
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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.