AHKAMI MEDICAL GROUP NPI 1295857365

NPI Information

NPI: 1295857365
Provider Name: AHKAMI MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
CLIA Number: 31D0106025
Address: 110 PASSAIC AVE
PASSAIC, NJ
ZIP 07055
Phone: (973) 471-9585

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NPI Details

AHKAMI MEDICAL GROUP is a specialist in Passaic, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AHKAMI MEDICAL GROUP NPI is 1295857365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 PASSAIC AVE
PASSAIC, NJ
ZIP 07055-827
Phone: (973) 471-9585
Fax: (973) 471-8534

The provider's authorized official is Shahrokh Stanchak .
The authorized official title is Credentialing Coordinator and has the following contact phone number (974) 471-9585.

The CLIA number assigned to this NPI record is 31D0106025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 12/18/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	NEW JERSEY	TAX IDENTIFICATION NUMBER

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: 11/21/2025

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