STEFAN H. FADERL M.D. NPI 1689770844

NPI Information

NPI: 1689770844
Provider Name: STEFAN H. FADERL, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
92 SECOND ST.
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-3925
Get Directions

Stefan H. Faderl, M.D. is a hematology and oncology internal medicine in Hackensack, NJ. The provider is 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. Stefan H. Faderl, M.D. NPI is 1689770844. 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:

92 SECOND ST.
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-3925
Fax: (551) 996-0574

The enumeration date for this NPI number is 9/15/2006 and was last updated on 11/21/2013.

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	207RX0202X	Internal Medicine	Medical Oncology	K7015	TEXAS	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	25MA09307400	NEW JERSEY	Yes

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	G94330	MEDICARE UPIN
2	84765N	MEDICARE PIN	TEXAS
3	900002759	OTHER	TEXAS	RR MEDICARE
4	84682X	OTHER	TEXAS	BCBS
5	043181901	MEDICAID	TEXAS
6	297175	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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