IAN HAFFER
NPI 1780067496
Student in an Organized Health Care Education/Training Program in Malden, MA

Q: What is Ian Haffer's NPI number?

The NPI number for Ian Haffer is 1780067496. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Ian Haffer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Haffer was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2015PECOS Enrolled

195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ian Haffer NPPES

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

IAN HAFFER (NPI 1780067496) is an individual student in an organized health care education/training program in Malden, Massachusetts, licensed in Massachusetts (264745) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780067496

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN HAFFER

Location Address195 CANAL STMalden, MA 02148-6701

Mailing Address50 Station Lndg, Apt 323Medford, MA 02155-5180 · (617) 791-3395

Phone(781) 338-0500

Sole ProprietorNo

Enumeration DateJune 30, 2015

✔ NPI 1780067496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MA · 264745

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

195 CANAL ST, Malden, MA 02148

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Haffer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.