| Al Obaidi Md Llc | |
|
55 Meadowlands Pkwy Fl 3 Secaucus NJ 07094-2977 | |
| (551) 333-3686 | |
| (201) 325-6701 |
| Full Name | Al Obaidi Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Meadowlands Pkwy Fl 3, Secaucus, New Jersey |
| Authorized Official Name and Position | Nawar F Al Obaidi (OWNER) |
| Authorized Official Contact | 9178556138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Al Obaidi Md Llc 707 Harmon Cove Tower Secaucus NJ 07094-1709 Ph: (513) 333-3686 | Al Obaidi Md Llc 55 Meadowlands Pkwy Fl 3 Secaucus NJ 07094-2977 Ph: (551) 333-3686 |
| NPI Number | 1669117479 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4284012352 |
|---|---|
| Medicare Enrollment ID | O20220601001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669117479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Johanna Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447836234 PECOS PAC ID: 5496106197 Enrollment ID: I20240108000154 |
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