DR. HOMAYOON HATEFI MD NPI 1285695015

NPI Information

  • NPI: 1285695015
  • Provider Name: DR. HOMAYOON HATEFI, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 145 PROSPECT ST
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 445-7776

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NPI Details

DR. Homayoon Hatefi, MD is a gastroenterology internal medicine in Ridgewood, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Homayoon Hatefi, MD NPI is 1285695015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

145 PROSPECT ST
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 445-7776
Fax: (201) 445-4209

The enumeration date for this NPI number is 3/31/2006 and was last updated on 9/11/2025.

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
1207R00000XInternal Medicine137050NEW YORKNo
2207RG0100XInternal MedicineGastroenterologyMA32611NEW JERSEYNo
3207RG0100XInternal MedicineGastroenterology9325DISTRICT OF COLUMBIAYes

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
14727100MEDICAIDNEW 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: 11/21/2025

NPI Synchronization or Removal

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