Igor Gefter MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06864600 Issued in NJ

Legal business name

IGOR GEFTER MD PC

Practice address

12-71 3Rd St
Fair Lawn, NJ 07410-1104

Phone

(201) 797-9343

Fax

(201) 797-9343

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Igor Gefter, MDNPI 1528013547

Title

Busines Owner

Phone

(201) 797-9343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Igor Gefter, MD

  • Psychiatry Physician
  • Fair Lawn, NJ
  • NPI 1528013547
  Authorized official Same address or phone

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275697716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-71 3RD ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101104",
            "telephone_number": "201-797-9343",
            "fax_number": "201-797-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-71 3RD ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101104",
            "telephone_number": "201-797-9343",
            "fax_number": "201-797-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR GEFTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEFTER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "BUSINES OWNER",
        "authorized_official_telephone_number": "201-797-9343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06864600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D7933304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.