Provider Demographics
NPI:1831150671
Name:AIROOD, MOUMINA (MD)
Entity type:Individual
Prefix:DR
First Name:MOUMINA
Middle Name:
Last Name:AIROOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 MCBRIDE AVE
Mailing Address - Street 2:WEST PATERSON SPECIALITY CLINIC
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2745
Mailing Address - Country:US
Mailing Address - Phone:973-569-4488
Mailing Address - Fax:973-569-4743
Practice Address - Street 1:871 MCBRIDE AVE
Practice Address - Street 2:WEST PATERSON SPECIALITY CLINIC
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-2745
Practice Address - Country:US
Practice Address - Phone:973-569-4488
Practice Address - Fax:973-569-4743
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071139207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8549401Medicaid
NJ047740Medicare ID - Type Unspecified
NJ8549401Medicaid