1609012608 NPI number — MR. ABDULMAJEED JARRAL BSPT,DPT

Table of content: MR. ABDULMAJEED JARRAL BSPT,DPT (NPI 1609012608)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609012608 NPI number — MR. ABDULMAJEED JARRAL BSPT,DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JARRAL
Provider First Name:
ABDULMAJEED
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
BSPT,DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JARRAL
Provider Other First Name:
ABDULMAJEED
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BSPT,DPT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609012608
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1176 STOCKTON PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH BRUNSWICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08902-3239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-586-5780
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1181 NELSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10452-3602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-681-5216
Provider Business Practice Location Address Fax Number:
718-293-9198
Provider Enumeration Date:
12/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  016406-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com