KHADIJA FOFANA (NPI# 1407413297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407413297 |
| Entity Type | Individual |
| Full Name | KHADIJA FOFANA |
| Practice Address |
122 Girard Ave Somerset NJ 08873-2417 |
| Practice Telephone | 7173418790 |
| Mailing Telephone | 7173418790 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
122 GIRARD AVE |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996694 | Michael A Jacobs | Psychologist | 711 Marys Dr, Brick, NJ 08723-4213 | 2020-03-10 |
| 1033756648 | Rising Stars Aba LLC | Psychologist | 3 Trudy Ln, Lakewood, NJ 08701-4675 | 2019-12-02 |
| 1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
| 1598247603 | Lasheima Jefferson | Psychologist | 650 Park Ave Apt 218, East Orange, NJ 07017-1578 | 2018-09-05 |
| 1366973455 | Stacieann Jones | Psychologist | 10 Sandstone Ln, Willingboro, NJ 08046-2004 | 2017-03-21 |
| 1407391022 | Marva Mcintosh | Psychologist | 112 Arbor Dr, Swedesboro, NJ 08085-5050 | 2017-01-05 |
| 1336697614 | Comprehensive Care Network, Ltd Liability Co. | Psychologist | 172 Broadway Rear Building, Woodcliff Lake, NJ 07677-8077 | 2016-09-15 |
| 1295103927 | Vanessa Checo | Psychologist | 940 Flora St, Elizabeth, NJ 07201-1914 | 2015-09-11 |
| 1447671102 | Patricia Louise Irwin | Psychologist | 150 Salem Woodstown Road, Salem, NJ 08079-0005 | 2013-12-26 |
| 1477999712 | Iyaho Social Services Incorporation | Psychologist | 137 Evergreen Pl # 3, East Orange, NJ 07018-2005 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.