Provider Demographics
NPI:1508865882
Name:ALMEDA, ALBERT ARABIT (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:ARABIT
Last Name:ALMEDA
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 1:1740 BAYSHORE RD
Mailing Address - Street 2:
Mailing Address - City:VILLAS
Mailing Address - State:NJ
Mailing Address - Zip Code:08251-2142
Mailing Address - Country:US
Mailing Address - Phone:609-886-4441
Mailing Address - Fax:609-889-1766
Practice Address - Street 1:1740 BAYSHORE RD
Practice Address - Street 2:
Practice Address - City:VILLAS
Practice Address - State:NJ
Practice Address - Zip Code:08251-2142
Practice Address - Country:US
Practice Address - Phone:609-886-4441
Practice Address - Fax:609-889-1766
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02851300208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D-96502Medicare UPIN
133393Medicare ID - Type Unspecified