MOHAMMED BEYAN FOFANA
NPI 1144955428
Psychologist - Intellectual and Developmental Disabilities in Newark, NJ

Active since July 20, 2022
675 CLINTON AVE, NEWARK, NJ 07108(908) 692-2205 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohammed Beyan Fofana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMED BEYAN FOFANA (NPI 1144955428) is an individual intellectual and developmental disabilities provider in Newark, New Jersey and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1144955428
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameMOHAMMED BEYAN FOFANA
Location Address675 CLINTON AVENewark, NJ 07108-1435
Mailing Address429 Washington St Apt 3aNewark, NJ 07102-1288 · (862) 235-9646
Sole ProprietorYes
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
NPI 1144955428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
675 CLINTON AVE, Newark, NJ 07108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammed Fofana's NPI number?

The NPI number for Mohammed Fofana is 1144955428. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Mohammed Fofana located?

Mohammed Fofana practices at 675 Clinton Ave, Newark, NJ 07108. The listed phone number is (908) 692-2205.

What is Mohammed Fofana's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Mohammed Fofana was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.