Organization Active NPI

OBGYN and Infertility Services of Northern New Jersey LLC

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1063572147
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB07473700 Issued in NJ
Legal business name
OBGYN AND INFERTILITY SERVICES OF NORTHERN NEW JERSEY LLC
Practice address
970 Clifton Ave Ste 102
Clifton, NJ 07013-2730
Phone
(973) 471-0707
Fax
(973) 471-2112
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Hakimi, DONPI 1033160890
Title
Physician
Phone
(973) 471-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MB07473700 NJ Primary

Addresses

Primary practice location

970 Clifton Ave Ste 102
Clifton, NJ 07013-2730

Mailing address

970 Clifton Ave Ste 102
Clifton, NJ 07013-2730
Phone (973) 471-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000527 NJ Part B Supplier - Clinic/Group Practice 7012091846 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

970 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 471-0707

721 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (201) 957-7547

905 Allwood Rd
Ste 206
Clifton, NJ 07012
Phone (201) 221-6015

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1063572147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 CLIFTON AVE STE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132730",
            "telephone_number": "973-471-0707",
            "fax_number": "973-471-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 CLIFTON AVE STE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132730",
            "telephone_number": "973-471-0707",
            "fax_number": "973-471-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN AND INFERTILITY SERVICES OF NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-471-0707",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB07473700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.