Provider Demographics
NPI:1326127879
Name:NAJIB, NABEEL M (MD)
Entity Type:Individual
Prefix:MR
First Name:NABEEL
Middle Name:M
Last Name:NAJIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1856
Mailing Address - Country:US
Mailing Address - Phone:201-662-1520
Mailing Address - Fax:201-662-8938
Practice Address - Street 1:6914 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-1856
Practice Address - Country:US
Practice Address - Phone:201-662-1520
Practice Address - Fax:201-662-8938
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66911207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7639601Medicaid
NJ7639601Medicaid
NJ012615Medicare ID - Type Unspecified