1659326833 NPI number — NAEEM M AMIN MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659326833 NPI number — NAEEM M AMIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMIN
Provider First Name:
NAEEM
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1659326833
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
76 S STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VINELAND
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08360-4851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-205-1112
Provider Business Mailing Address Fax Number:
856-839-4562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1138 E CHESTNUT AVE STE 8A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VINELAND
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08360-5053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-837-4570
Provider Business Practice Location Address Fax Number:
856-839-4562
Provider Enumeration Date:
05/24/2006

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: 207RN0300X , with the licence number:  25MA07939800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208M00000X , with the licence number: 25MA07939800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 60016567 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7432737 . This is a "AETNA/US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0074021 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2K9848 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3629766 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00826075 . This is a "RAILROAD MEDICARE-PALMETTO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 074021 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01077795500 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 45177 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 60016567 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 243435 . This is a "AMERIGROUP/AMERICAID" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com