Provider Demographics
NPI:1215060678
Name:LIVINGSTON HEALTHCARE, LLC
Entity type:Organization
Organization Name:LIVINGSTON HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-535-3999
Mailing Address - Street 1:94 EDGEMERE RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2830
Mailing Address - Country:US
Mailing Address - Phone:973-535-3999
Mailing Address - Fax:973-535-3222
Practice Address - Street 1:107 EAST MT. PLEASANT AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-535-3999
Practice Address - Fax:973-535-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA079148002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty