MEDICARE: DR. NOUF AMER AL-RAWASHDEH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00797800	NJ

General Provider Information

NPI Number	:	1194414185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOUF AMER AL-RAWASHDEH DC

Provider Business Mailing Address
First Line	:	580 MONTGOMERY ST # 6A
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3128
Country	:	US
Telephone Number	:	551-222-3346
Fax Number	:	551-372-6766

Provider Business Practice Location Address
First Line	:	580 MONTGOMERY ST # 6A
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3128
Country	:	US
Telephone Number	:	551-222-3346
Fax Number	:	551-372-6766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/28/2026

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