Provider Demographics
NPI:1326231911
Name:GAMAL E GAD MD PC
Entity Type:Organization
Organization Name:GAMAL E GAD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-979-2530
Mailing Address - Street 1:32 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1718
Mailing Address - Country:US
Mailing Address - Phone:973-523-6830
Mailing Address - Fax:973-523-3145
Practice Address - Street 1:541 E 29TH ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07504-1813
Practice Address - Country:US
Practice Address - Phone:973-523-6830
Practice Address - Fax:973-523-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0174007Medicaid
NJ5620104Medicaid
NJ114737Medicare PIN