STEFAN H. FADERL (NPI# 1689770844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689770844 |
| Entity Type | Individual |
| Full Name | STEFAN H. FADERL |
| Credential | M.D. |
| Practice Address |
92 Second St. Hackensack NJ 07601 |
| Mailing Address |
100 First St. Suite 301 Hackensack NJ 07601 |
| Practice Telephone | 5519963925 |
| Practice Fax Number | 5519960574 |
| Mailing Telephone | 5519963925 |
| Mailing Fax Number | 5519960574 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25MA09307400 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
K7015 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR MEDICARE | 900002759 | 01 |
| TX | 043181901 | 05 | |
| TX | BCBS | 84682X | 01 |
| Street Address |
92 SECOND ST. |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255567285 | Carrie Brooke Wasserman | Internal Medicine | 92 Second Street, Hackensack, NJ 07601 | 2009-06-04 |
| 1790773356 | David H Vesole | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2005-10-07 |
| 1265870331 | Regional Cancer Care Associates, L.L.C. | Internal Medicine | 100 1st St, Suite 301, Hackensack, NJ 07601-2153 | 2013-06-11 |
| 1710231006 | Kaushal Parikh | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2012-11-08 |
| 1689937740 | Sukhdeep Kaur | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2012-06-22 |
| 1306102934 | Andrew C. Ip | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2012-04-09 |
| 1972746394 | Lori Ann Leslie | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2009-04-15 |
| 1407098452 | Hyung Chan Suh | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2009-04-06 |
| 1730321662 | Tracy Ann Proverbs-singh | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2009-03-24 |
| 1992951149 | James Kevin Mccloskey II | Internal Medicine | 92 2nd St, Hackensack, NJ 07601-2191 | 2008-08-07 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on STEFAN H. FADERL.
| 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.