Provider Demographics
NPI:1659446789
Name:ALI, MAJID (MD)
Entity type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:ALI
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 1:95 E MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2158
Mailing Address - Country:US
Mailing Address - Phone:973-586-4111
Mailing Address - Fax:973-586-8466
Practice Address - Street 1:95 E MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2158
Practice Address - Country:US
Practice Address - Phone:973-586-4111
Practice Address - Fax:973-586-8466
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA25084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C-57540Medicare UPIN
ALI185213Medicare ID - Type Unspecified