Provider Type Icon

NORTH JERSEY INTERNAL MEDICINE PC NPI 1114027885


NPI Information

NPI: 1114027885
Provider Name: NORTH JERSEY INTERNAL MEDICINE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D1052817

Address:
92 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-0066
Get Directions

NORTH JERSEY INTERNAL MEDICINE PC is an internal medicine in Hackensack, 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. NORTH JERSEY INTERNAL MEDICINE PC NPI is 1114027885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

92 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601-263
Phone: (201) 342-0066
Fax: (201) 342-0079

The provider's authorized official is Ehab Ibrahim .
The authorized official title is Owner and has the following contact phone number (201) 342-0066.

The CLIA number assigned to this NPI record is 31D1052817 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 2/20/2019.


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
1207R00000XInternal MedicineMA07752000NEW JERSEYYes

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: 11/14/2023

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.