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Deactivated NPI 1104918036 Deactivated / Inactive NPI Male Practitioner

Dr. Iraj Gafori , MD

Specialist • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Iraj Gafori has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date August 29, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Iraj Gafori, MD was a registered Specialist practicing in Hackensack, NJ. Throughout an active medical career spanning 16 years, Dr. Gafori provided care at the practice location at 20 PROSPECT AVE until profile deactivation on 2022-08-29.

Practice Location & Contact Primary Location

Practice Address

20 Prospect Ave
Suite # 801

Hackensack, NJ 076011997

Telephone 2014891808
Fax 2014896626
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.9 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Hackensack, NJ (1802 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA03902400

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003088675

Doctor of Medicine (M.D.)

Elizabth Bilotti , APN-BC

Nurse Practitioner - Adult Health

NPI 1013056209

APNBC

Dr. Joseph Glowacki , DO

Internal Medicine - Infectious Disease

NPI 1013578665

Doctor of Osteopathic Medicine (D.O.)

Dr. Jerome Levine , MD

Internal Medicine - Infectious Disease

NPI 1023086980

Doctor of Medicine (M.D.)

Theresa Gabay , APRN, BC

Nurse Practitioner - Family

NPI 1043260581

Advanced Practice Registered Nurse, BC

Lisa Ha

Nurse Practitioner - Acute Care

NPI 1043603459

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 29, 2022

Record deactivated on August 29, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 20 PROSPECT AVE, SUITE # 801, HACKENSACK, NJ 076011997 (Tel: 2014891808)

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Updated Business Mailing Address July 08, 2007

Registered at 20 PROSPECT AVE, SUITE # 801, HACKENSACK, NJ 076011997 (Tel: 2014891808)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IRAJ GAFORI, M.D,

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25MA03902400 in NJ)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104918036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Deactivation Date: August 29, 2022

Mailing Address

20 Prospect Ave, Suite # 801

Hackensack, NJ 076011997

Phone: 2014891808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.