Provider Demographics
NPI:1659316289
Name:NAJJAR, JOE ELIAS (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:ELIAS
Last Name:NAJJAR
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 1:975 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2722
Mailing Address - Country:US
Mailing Address - Phone:973-778-8666
Mailing Address - Fax:
Practice Address - Street 1:975 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2722
Practice Address - Country:US
Practice Address - Phone:973-778-8666
Practice Address - Fax:973-778-7559
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08193600207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0217191Medicaid
NJH48551Medicare UPIN
LAH48551Medicare UPIN