Provider Demographics
NPI:1568589158
Name:MAJID, MAHIR J (MD, FACOG)
Entity Type:Individual
Prefix:MR
First Name:MAHIR
Middle Name:J
Last Name:MAJID
Suffix:
Gender:M
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-0008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:201-945-4718
Practice Address - Street 1:7332 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4035
Practice Address - Country:US
Practice Address - Phone:201-868-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06300200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7226802Medicaid
NJG13350Medicare UPIN
NJ021114T5CMedicare ID - Type Unspecified
NY01579831Medicare ID - Type Unspecified