Active NPIIndividual providerSole proprietor

Fatima A Masumova, DO

Psychiatry & Neurology, Forensic Psychiatry in Avenel, New Jersey

NPI Number1730522756
Practice location
15 Paddock St, Avenel, NJ 07001-1856
Fax
—
Last updated
February 8, 2022

Fatima A Masumova is a Psychiatry & Neurology, Forensic Psychiatry based in Avenel, NJ. Fatima A Masumova practices in Avenel, NJ and has the professional credentials of DO. The NPI Number for Fatima A Masumova is 1730522756 and holds a License No. OS021046 (PA). The current practice location address for Fatima A Masumova is 15 Paddock St, Avenel, NJ 07001-1856 and can be reached out via phone at 732-499-5041.

Provider Profile Details

NPI Number
1730522756
Provider Name
Fatima A Masumova
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15 Paddock St, Avenel, NJ 07001-1856
Phone Number
732-499-5041
Primary Taxonomy
Psychiatry & Neurology, Forensic Psychiatry · 2084F0202X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2013
Last Update Date
February 8, 2022
Certification Date
February 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Paddock St
Avenel, NJ 07001-1856
City
Avenel
Zip
07001-1856
Phone Number
732-499-5041
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
323 Windsor RD
Mullica Hill, NJ 08062-1875
City
Mullica Hill
State
NJ
Zip
08062-1875
Phone Number
908-907-6747

License Information

License Number (1)
OS021046
License State (1)
PA
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
OS021046
License State (2)
PA
License Number (3)
OS021046
License State (3)
PA
Taxonomy (3)
Psychiatry & Neurology, Forensic Psychiatry · 2084F0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fatima A Masumova, DO?

The NPI number of Fatima A Masumova, DO is 1730522756. It was assigned on April 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Fatima A Masumova, DO?

Fatima A Masumova, DO is registered under the primary taxonomy Psychiatry & Neurology, Forensic Psychiatry (code 2084F0202X), licensed in PA under license number OS021046.

Where does Fatima A Masumova, DO practice?

The practice location is 15 Paddock St, Avenel, NJ 07001-1856. The office can be reached at 732-499-5041 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730522756 directly on the NPPES registry website.

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