Provider Demographics
NPI:1346326956
Name:FAHIMI, NADER (MD)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:
Last Name:FAHIMI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:342 HAMBURG TURNPIKE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-1614
Mailing Address - Country:US
Mailing Address - Phone:973-956-8100
Mailing Address - Fax:973-956-8104
Practice Address - Street 1:342 HAMBURG TURNPIKE
Practice Address - Street 2:SUITE 209
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-1614
Practice Address - Country:US
Practice Address - Phone:973-956-8100
Practice Address - Fax:973-956-8104
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2021-04-27
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07294400207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083865X1CMedicare PIN