Provider Demographics
NPI:1124785209
Name:HAGER, FAIGA (MS)
Entity type:Individual
Prefix:
First Name:FAIGA
Middle Name:
Last Name:HAGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:FAIGA
Other - Middle Name:
Other - Last Name:TEREBELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:140 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4440
Mailing Address - Country:US
Mailing Address - Phone:732-644-6643
Mailing Address - Fax:
Practice Address - Street 1:140 BROOK AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4440
Practice Address - Country:US
Practice Address - Phone:732-644-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00894100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist