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Contact Information

JONATHON T HAVERTY, DO
20 PROSPECT AVE
HACKENSACK, NJ07601-1997
 Phone: 201-996-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JONATHON T HAVERTY · (Male)

NPI Number 1760987549
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/26/2018
Last updated 06/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB11428200
  • NY License # 309053
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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