Healthcare Provider Details

I. General information

NPI: 1881856631
Provider Name (Legal Business Name): JAMES HAKIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST EMERGENCY DEPARTMENT
ELIZABETH NJ
07202-3625
US

IV. Provider business mailing address

6 HENLEY PL
WEEHAWKEN NJ
07086-6652
US

V. Phone/Fax

Practice location:
  • Phone: 607-592-3335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA09310800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: