Healthcare Provider Details

I. General information

NPI: 1376456384
Provider Name (Legal Business Name): AJI MEDICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 ALLEN TOUSSAINT BLVD
NEW ORLEANS LA
70124-3507
US

IV. Provider business mailing address

808 ALLEN TOUSSAINT BLVD
NEW ORLEANS LA
70124-3507
US

V. Phone/Fax

Practice location:
  • Phone: 732-666-7211
  • Fax:
Mailing address:
  • Phone: 732-666-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA PAUL
Title or Position: PHYSICIAN
Credential: DO
Phone: 732-666-7211