Homayoon Hatefi M.D. PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HOMAYOON HATEFI M.D. PA

Practice address

145 Prospect St
Ridgewood, NJ 07450-4493

Phone

(201) 445-7776

Fax

(201) 445-4209

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Homayoon Hatefi, M.D.

Title

President

Phone

(201) 445-7776

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1346426087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504493",
            "telephone_number": "201-445-7776",
            "fax_number": "201-445-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504493",
            "telephone_number": "201-445-7776",
            "fax_number": "201-445-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAYOON HATEFI M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "HATEFI",
        "authorized_official_first_name": "HOMAYOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-445-7776",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien-Fang Ho
• Martin N Hochberg, MD
• Frank G Hoehne, MSW
• Elaine Marie Holt, MD
• Katherine Holtzman, LCSW
• Alnetta Lyshawn Hooper, PSY.D
• Maria Hoppas, LCSW
• Karen Lynn Horan, RD, CDE
• Horizon Research Unlimited LLC
• Kelli Howell, P.A.

• Gastroenterology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.