Healthcare Provider Details

I. General information

NPI: 1164127387
Provider Name (Legal Business Name): HADIA YOUNIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 S HARDING HWY
BUENA NJ
08310-9732
US

IV. Provider business mailing address

163 BRIDGETON PIKE
MULLICA HILL NJ
08062-2669
US

V. Phone/Fax

Practice location:
  • Phone: 856-697-0111
  • Fax: 856-697-0003
Mailing address:
  • Phone: 856-507-2783
  • Fax: 856-221-4138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA12821900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: