Dr Walead Latif Professional Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DR WALEAD LATIF PROFESSIONAL CORPORATION

Practice address

1 Thistle LN
Warren, NJ 07059-5564

Phone

(732) 255-2252

Fax

(848) 444-9801

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Walead Latif, DO

Title

President

Phone

(732) 255-2252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1396377784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THISTLE LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595564",
            "telephone_number": "732-255-2252",
            "fax_number": "848-444-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THISTLE LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595564",
            "telephone_number": "732-255-2252",
            "fax_number": "848-444-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WALEAD LATIF PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "WALEAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-255-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Annette Domingo, M.D.
• Rachel Donnary
• Kenneth James Donovan, D.P.M
• Monica Doss
• Lynne E. Downing, PH.D., LCSW
• Linda Dragun, OT
• Drug Fair Group, Inc. (Drug Fair of Warren)
• Matthew Dudek, D.P.T.
• Ellen Anello
• Enable, Inc.

• Nephrology Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.