NPI 1114926375 · live from the CMS NPI Registry
Augustine Yao Alifo, M.D.
Emergency Medicine in Montclair, NJ. National Provider Identifier 1114926375, active.
NPI record
| NPI | 1114926375 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1 Bay Ave, Montclair, NJ 07042 |
| Practice phone | 973-429-6000 |
| Mailing address | 312 N Highland Ave, Pearl River, NY 10965 |
| Enumerated | July 20, 2005 |
| Last updated | April 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 35.092137 (OH) |
| Emergency Medicine | 207P00000X | 25MA06628800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.