Organization Active NPI

Dr Teofilo a Douhajre Jr PA

  • Orthopaedic Surgery Physician
  • Guttenberg, NJ
National Provider Identifier
1376685743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA41682 Issued in NJ
Legal business name
DR TEOFILO A DOUHAJRE JR PA
Practice address
7000 Boulevard East
Guttenberg, NJ 07093
Phone
(201) 868-1200
Fax
(201) 868-0064
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Teofilo A Dauhajre Jr., MDNPI 1245253442
Title
President
Phone
(201) 868-1200

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
Orthopaedic Surgery Physician 207X00000X MA41682 NJ Primary

Addresses

Primary practice location

7000 Boulevard East
Guttenberg, NJ 07093

Mailing address

7000 Boulevard East
Guttenberg, NJ 07093
Phone (201) 868-1200

Other identifiers 3

IdentifierTypeStateIssuer
00888303MedicaidNJ
564G210OtherNJEMPIRE BC
4418306OtherNJAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376685743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD EAST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-868-1200",
            "fax_number": "201-868-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD EAST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-868-1200",
            "fax_number": "201-868-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TEOFILO A DOUHAJRE JR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUHAJRE",
        "authorized_official_first_name": "TEOFILO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-868-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA41682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888303",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "564G210",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4418306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • 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.