Provider Demographics
NPI:1508738535
Name:HUNER TUFEKCI, DIDEM
Entity type:Individual
Prefix:
First Name:DIDEM
Middle Name:
Last Name:HUNER TUFEKCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BRIGHTON AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-2071
Mailing Address - Country:US
Mailing Address - Phone:551-379-9007
Mailing Address - Fax:
Practice Address - Street 1:2 BRIGHTON AVE STE 5
Practice Address - Street 2:STE 5
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-2071
Practice Address - Country:US
Practice Address - Phone:551-379-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies