DR. KATHLEEN ANN HAINES M.D. NPI 1912952417

NPI Information

NPI: 1912952417
Provider Name: DR. KATHLEEN ANN HAINES, M.D.
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

Address:
30 PROSPECT AVE
WFAN-IMUS BLDG.
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-5306
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DR. Kathleen Ann Haines, M.D. is a pediatric rheumatology pediatrics in Hackensack, NJ. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Kathleen Ann Haines, M.D. NPI is 1912952417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 PROSPECT AVE
WFAN-IMUS BLDG.
HACKENSACK, NJ
ZIP 07601-914
Phone: (551) 996-5306
Fax: (201) 996-9815

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	25MA07289900	NEW JERSEY	No
2	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	128013	NEW YORK	No
3	2080P0216X	Pediatrics	Pediatric Rheumatology	25MA07289900	NEW JERSEY	Yes
4	2080P0216X	Pediatrics	Pediatric Rheumatology	128013	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F47880	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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