Provider Demographics
NPI:1568447241
Name:BEHMAN, HAIDY (MD)
Entity Type:Individual
Prefix:
First Name:HAIDY
Middle Name:
Last Name:BEHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 PULASKI AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2509
Mailing Address - Country:US
Mailing Address - Phone:732-541-0340
Mailing Address - Fax:732-541-1451
Practice Address - Street 1:48 PULASKI AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-2509
Practice Address - Country:US
Practice Address - Phone:732-541-0340
Practice Address - Fax:732-541-1451
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06382500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ16899OtherAMERICAID #
NJMI000039001OtherAMERICHOICE #
NJ203552661OtherTAX IDENTIFICATION #
NJ2235442OtherAETNA HMO #
NJ1083247OtherHORIZON NJ HEALTH #
NJ7067003Medicaid
NJ010063825NJ01OtherANTHEM #
NJ5464427OtherAETNA PPO #
NJ632N01OtherEMPIRE #
NJ8000170OtherGHI PPO #
NJP1927438OtherOXFORD #
NJ0051886000OtherAMERIHEALTH #
NJF01994Medicare UPIN
NJ7067003Medicaid