Mohammed Beyan Fofana

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

675 Clinton Ave
Newark, NJ 07108-1435

Phone

(908) 692-2205

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1144955428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 WASHINGTON ST APT 3A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021288",
            "telephone_number": "862-235-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081435",
            "telephone_number": "908-692-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "MOHAMMED",
        "middle_name": "BEYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce E Flowers
• Florence Floyd
• Linda Fobih, LPN
• Andrea C Fodor, APRN-BC
• Onajovwe Oladipo Fofah, M.D.
• Elsie Jazmin Foglio, D.O.
• Felicia Regina Fojas
• Gladys Gyamfuah Fokuoh
• Ayodeji Folarin, MD
• Emma Christine Foley, MD

• Intellectual & Developmental Disabilities Psychologist in Newark, NJ
• Providers in Newark, NJ by specialty
• Intellectual & Developmental Disabilities Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.