Provider Demographics
NPI:1609638014
Name:ALIMUHAMMAD, ABDULLAH S (CPRS)
Entity Type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:S
Last Name:ALIMUHAMMAD
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1428
Mailing Address - Country:US
Mailing Address - Phone:727-218-4726
Mailing Address - Fax:
Practice Address - Street 1:60 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-2003
Practice Address - Country:US
Practice Address - Phone:973-553-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCPRS-50581175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist