Provider Demographics
NPI:1588616460
Name:HINFEY, PATRICK BLAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BLAINE
Last Name:HINFEY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13700-0135
Mailing Address - Street 2:C/O NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-0135
Mailing Address - Country:US
Mailing Address - Phone:610-668-6491
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:201 LYONS AVENUE
Practice Address - Street 2:NEWARK BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2094
Practice Address - Country:US
Practice Address - Phone:973-926-7000
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07257800207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H50807Medicare UPIN
NJ052269Medicare ID - Type Unspecified