Amanda Moukdad, | |
1265 Paterson Plank Rd Ste 3b, Secaucus, NJ 07094-3242 | |
(201) 223-1121 | |
Not Available |
Full Name | Amanda Moukdad |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1265 Paterson Plank Rd Ste 3b, Secaucus, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326605528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 312667 (New York) | Secondary |
208M00000X | Hospitalist | 312667 (New York) | Secondary |
207R00000X | Internal Medicine | 25MB11383300 (New Jersey) | Primary |
Entity Name | J S Moukdad Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801082136 PECOS PAC ID: 4880662493 Enrollment ID: O20040922000038 |
Mailing Address | Practice Location Address |
---|---|
Amanda Moukdad, 165 83rd St, Brooklyn, NY 11209-4309 Ph: () - | Amanda Moukdad, 1265 Paterson Plank Rd Ste 3b, Secaucus, NJ 07094-3242 Ph: (201) 223-1121 |
Dr. Rahed Mohammed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1251 Riverside Station Blvd, Secaucus, NJ 07094 Phone: 012-238-1279 | |
Wayne D Siegel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Route 3 Ste 204, Secaucus, NJ 07094 Phone: 201-866-2400 Fax: 201-866-0444 | |
Dr. Grace Haechung Yang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 38 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-293-0401 Fax: 201-293-0402 | |
Robert Wayne Boyajian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 State Rt 3, Suite 203, Secaucus, NJ 07094 Phone: 201-865-3100 Fax: 201-865-8311 | |
Dr. Jihad S Moukdad, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Paterson Plank Rd, Secaucus, NJ 07094 Phone: 201-223-1121 Fax: 201-223-1126 | |
Dr. Mary Nadratowski, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Green Valley Ct, Secaucus, NJ 07094 Phone: 201-865-8120 Fax: 973-235-6228 |