Provider Demographics
NPI:1134204332
Name:HAYET, ROSE F (MD FACOG)
Entity type:Individual
Prefix:DR
First Name:ROSE
Middle Name:F
Last Name:HAYET
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 HWY 35 SOUTH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755
Mailing Address - Country:US
Mailing Address - Phone:732-663-0030
Mailing Address - Fax:732-663-0882
Practice Address - Street 1:1900 HWY 35 SOUTH
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755
Practice Address - Country:US
Practice Address - Phone:732-663-0030
Practice Address - Fax:732-663-0882
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04012600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ482380Medicare ID - Type Unspecified
D92560Medicare UPIN