Healthcare Provider Details
I. General information
NPI: 1255891974
Provider Name (Legal Business Name): DANIEL HELFGOTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2019
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
94 OLD SHORT HILLS RD
LIVINGSTON NJ
07039-5672
US
IV. Provider business mailing address
94 OLD SHORT HILLS RD
LIVINGSTON NJ
07039-5672
US
V. Phone/Fax
- Phone: 973-322-5000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 25MA12673600 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 25MA12673600 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: