Dr Fatema Jaffery, MD | |
50 Union Ave, Suite 704, Irvington, NJ 07111-3262 | |
(973) 373-9600 | |
(973) 373-2030 |
Full Name | Dr Fatema Jaffery |
---|---|
Gender | Female |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 50 Union Ave, Irvington, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003877663 | NPI | - | NPPES |
9022805 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA61576 (New Jersey) | Secondary |
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 25MA06157600 (New Jersey) | Primary |
Entity Name | Newark Beth Israel Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033210323 PECOS PAC ID: 3173437464 Enrollment ID: O20031119000754 |
Entity Name | Rwjbh Observation Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Rwjbh Primary Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265037501 PECOS PAC ID: 0749699346 Enrollment ID: O20210512000720 |
Mailing Address | Practice Location Address |
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Dr Fatema Jaffery, MD 40 Richard Rd, Prime Pediatrics, Edison, NJ 08820-2515 Ph: (973) 373-9600 | Dr Fatema Jaffery, MD 50 Union Ave, Suite 704, Irvington, NJ 07111-3262 Ph: (973) 373-9600 |
Dr. Palanisamy S Sundaram I, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 860 Grove St, Irvington, NJ 07111 Phone: 973-399-8650 Fax: 973-533-4470 | |
Dr. Justina Anyanwu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1182 Stuyvesant Ave, Irvington, NJ 07111 Phone: 973-399-0571 Fax: 973-399-1555 | |
Tokunbo T Dada, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Union Avenue, Sutie 702, Irvington, NJ 07111 Phone: 973-373-7110 Fax: 973-373-0076 | |
Elizabeth K Mammen-prasad, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 50 Union Ave, Suite# 603, Irvington, NJ 07111 Phone: 973-399-9250 Fax: 732-252-6634 | |
Dr. Pierre R Leger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 987 Sanford Ave, Irvington, NJ 07111 Phone: 973-374-1337 Fax: 973-374-3082 | |
Moloud A Khanmohamadi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Union Ave, Ste 604, Irvington, NJ 07111 Phone: 973-375-2246 Fax: 973-375-3157 |