Provider Demographics
NPI:1659326833
Name:AMIN, NAEEM M (MD)
Entity type:Individual
Prefix:
First Name:NAEEM
Middle Name:M
Last Name:AMIN
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 1:1138 E CHESTNUT AVE STE 8A
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5053
Mailing Address - Country:US
Mailing Address - Phone:856-839-4570
Mailing Address - Fax:856-839-4562
Practice Address - Street 1:1138 E CHESTNUT AVE STE 8A
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5053
Practice Address - Country:US
Practice Address - Phone:856-837-4570
Practice Address - Fax:856-839-4562
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07939800208M00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01077795500OtherAMERICHOICE
P00826075OtherRAILROAD MEDICARE-PALMETTO
NJ0074021Medicaid
2K9848OtherHEALTHNET
7432737OtherAETNA/US HEALTHCARE
243435OtherAMERIGROUP/AMERICAID
60016567OtherHORIZON
NJ60016567OtherHORIZON NJ HEALTH
P3629766OtherOXFORD
NJ074021Medicaid
NJ45177OtherUNIVERSITY HEALTH PLAN
P00826075OtherRAILROAD MEDICARE-PALMETTO
G16680Medicare UPIN