Provider Demographics
NPI:1669668299
Name:DOCTORS HOME VISITS LLC
Entity Type:Organization
Organization Name:DOCTORS HOME VISITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:NOYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ISNAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-384-3733
Mailing Address - Street 1:296 GARFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641
Mailing Address - Country:US
Mailing Address - Phone:201-384-3733
Mailing Address - Fax:201-384-8251
Practice Address - Street 1:296 GARFIELD STREET
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641
Practice Address - Country:US
Practice Address - Phone:201-384-3733
Practice Address - Fax:201-384-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA49934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089107Medicare PIN