1265605786 NPI number — EMAN AL-JANABI, MD

Table of content: (NPI 1265605786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265605786 NPI number — EMAN AL-JANABI, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMAN AL-JANABI, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265605786
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9686
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIONDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11555-9686
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-274-6700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
367 BAY RIDGE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11209-3161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-274-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ROWE
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
BILLING AGENT
Authorized Official Telephone Number:
732-274-6700

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  2040331 , 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)

  • Identifier: HN4C8494 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000370110748 . This is a "HEALTHPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00208712 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000042950 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5245690 . This is a "ATENA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P800537 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01760690 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699733071 . This is a "EMPIRE BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0299735 . This is a "GHI PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 8702889003 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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