Healthcare Provider Details

I. General information

NPI: 1154611754
Provider Name (Legal Business Name): KATHARINE OFFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

615 WITTHILL RD
RIDGEWOOD NJ
07450-5303
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-5437
  • Fax:
Mailing address:
  • Phone: 401-662-0904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number25MA10148500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: