| Alkindi Medical | |
|
872 Preakness Ave Wayne NJ 07470-2804 | |
| (973) 342-4806 | |
| Not Available |
| Full Name | Alkindi Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 872 Preakness Ave, Wayne, New Jersey |
| Authorized Official Name and Position | Jouma Jalou (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9733424806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alkindi Medical 2208 Queensbury Way Fort Smith AR 72908-9130 Ph: (973) 342-4806 | Alkindi Medical 872 Preakness Ave Wayne NJ 07470-2804 Ph: (973) 342-4806 |
| NPI Number | 1922622554 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 4183066798 |
|---|---|
| Medicare Enrollment ID | O20240529000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922622554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Jouma Jalou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720571102 PECOS PAC ID: 5193127140 Enrollment ID: I20240501001981 |
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