Provider Demographics
NPI:1467991703
Name:HEALTH CONSULTANTS OF NORTH JERSEY
Entity Type:Organization
Organization Name:HEALTH CONSULTANTS OF NORTH JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NABULSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-715-4989
Mailing Address - Street 1:516 HAMBURG TPKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2062
Mailing Address - Country:US
Mailing Address - Phone:973-925-7770
Mailing Address - Fax:973-925-7772
Practice Address - Street 1:516 HAMBURG TPKE
Practice Address - Street 2:SUITE 5
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2062
Practice Address - Country:US
Practice Address - Phone:973-925-7770
Practice Address - Fax:973-925-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08768600207Q00000X
NJ25MB08815300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0266426Medicaid