Healthcare Provider Details

I. General information

NPI: 1952330060
Provider Name (Legal Business Name): MARIAM BEKHIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 RT. 18 SOUTH
EAST BRUNSWICK NJ
08816-2456
US

IV. Provider business mailing address

735 HWY RT 18 SOUTH
EAST BRUNSWICK NJ
08816-2456
US

V. Phone/Fax

Practice location:
  • Phone: 732-257-4100
  • Fax:
Mailing address:
  • Phone: 732-257-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01094695A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA07857900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: