MEDICARE: LIBBY JOFFE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	226398	NY
2	207R00000X	Internal Medicine Physician	25MA07432500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831199645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIBBY JOFFE M.D.

Provider Business Mailing Address
First Line	:	39 WINCHESTER RD
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-4342
Country	:	US
Telephone Number	:	973-992-0739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 ROUTE 23 STE 310
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-7520
Country	:	US
Telephone Number	:	973-831-9222
Fax Number	:	973-831-1460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	12/05/2018

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Directions to “ LIBBY JOFFE M.D.” Practice Location

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