Provider Demographics
NPI:1023142676
Name:FARHATH, SABEENA (MD)
Entity type:Individual
Prefix:DR
First Name:SABEENA
Middle Name:
Last Name:FARHATH
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 1:2123 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3417
Mailing Address - Country:US
Mailing Address - Phone:609-586-7337
Mailing Address - Fax:609-586-7338
Practice Address - Street 1:1401 WHITEHORSE MERCERVILLE RD STE 215
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3835
Practice Address - Country:US
Practice Address - Phone:609-528-8894
Practice Address - Fax:609-528-8896
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-00028832080P0206X
NJMA081761002080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5334502OtherCIGNA
NJP3944299OtherOXFORD HEALTH PLAN
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NJ1922746/9150193OtherAETNA
NJ60043859OtherHORIZON NJ HEALTH
NJ3542028000OtherAMERIHEALTH/KESYTONE/IBC
NJ0176711Medicaid
NJAMERICHOICEOther010046660
NJ5334502OtherCIGNA