Healthcare Provider Details

I. General information

NPI: 1518990381
Provider Name (Legal Business Name): HANY M GAAFER-AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HANY M GAAFER MD

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE SUITE # 810
HACKENSACK NJ
07601-1997
US

IV. Provider business mailing address

370 W PLEASANTVIEW AVE # 351
HACKENSACK NJ
07601-8004
US

V. Phone/Fax

Practice location:
  • Phone: 201-343-1962
  • Fax: 866-610-6086
Mailing address:
  • Phone: 201-655-5037
  • Fax: 866-610-6086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA08084300
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: