David S. Haacker MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04966800 Issued in NJ

Legal business name

DAVID S. HAACKER MD PC

Practice address

443 Northfield Ave
Suite # 301
West Orange, NJ 07052-3093

Phone

(973) 731-0203

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Joana Almeida

Title

Credential Specialist

Phone

(973) 291-8442

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1669624060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2621",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070962621",
            "telephone_number": "973-731-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NORTHFIELD AVE",
            "address_2": "SUITE # 301",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523093",
            "telephone_number": "973-731-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. HAACKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "ALMEIDA",
        "authorized_official_first_name": "JOANA",
        "authorized_official_title_or_position": "CREDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "973-291-8442"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04966800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darling Essentials
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• Elizabeth Mary Dauer, PA-C
• Daughters of Israel Inc
• Daughters of Israel, Inc.
• Gwen L David, MD
• Leo Davidson, DPM
• Cryshedia NA'Imah Davis
• Joel F Davis, DDS
• Marlene Phyllis Davis, MSW MED MA

• Internal Medicine Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.