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IMAD M ARIDI MD PA NPI 1053332965


NPI Information

NPI: 1053332965
Provider Name: IMAD M ARIDI MD PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
76 W JIMMIE LEEDS RD
76 WEST PARK CENTRE SUITE 301
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-9111
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IMAD M ARIDI MD PA is an internal medicine in Galloway, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. IMAD M ARIDI MD PA NPI is 1053332965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

76 W JIMMIE LEEDS RD
76 WEST PARK CENTRE SUITE 301
GALLOWAY, NJ
ZIP 08205-411
Phone: (609) 652-9111
Fax: (609) 652-1283

The provider's authorized official is Imad Aridi .
The authorized official title is Owner and has the following contact phone number (609) 652-9111.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MA04727700NEW JERSEYNo
22085R0202XRadiologyDiagnostic Radiology25MA04727700NEW JERSEYNo
3208600000XSurgery25MA04727700NEW JERSEYNo
4207R00000XInternal Medicine25MA04727700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10396670001OTHERNEW JERSEYAMERIHEALTH ADMINISTRATOR
280340OTHERNEW JERSEYAMERIGROUP
3=========OTHERNEW JERSEYLOCAL 54
4=========OTHERNEW JERSEYUNITED HEALTHCARE
5OK6443OTHERNEW JERSEYHEALTHNET
60010972OTHERNEW JERSEYUS HEALTHCARE
70396670001OTHERNEW JERSEYAMERIHEALTH
8575019OTHERPENNSYLVANIAPENNSYLVANIA BLUE SHIELD
9=========OTHERNEW JERSEYAETNA
10=========OTHERNEW JERSEYCIGNA
11575019MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE NJ
12=========OTHERNEW JERSEYTRICARE / CHAMPUS
13ATP016OTHERNEW JERSEYOXFORD
142=========OTHERNEW JERSEYHORIZON BLUE SHIELD
15C58176MEDICARE UPINNEW JERSEY
163594700MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.