Provider Demographics
NPI:1619419868
Name:HADAR, NAAMA (RN)
Entity Type:Individual
Prefix:
First Name:NAAMA
Middle Name:
Last Name:HADAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ROUTE 46
Mailing Address - Street 2:SUITE G-51
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1668
Mailing Address - Country:US
Mailing Address - Phone:973-588-7266
Mailing Address - Fax:
Practice Address - Street 1:831 ROUTE 10
Practice Address - Street 2:SUITE 34
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1154
Practice Address - Country:US
Practice Address - Phone:973-538-1609
Practice Address - Fax:973-463-1016
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15390500163W00000X
NJ25MG00132600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No163W00000XNursing Service ProvidersRegistered Nurse