Healthcare Provider Details

I. General information

NPI: 1881384337
Provider Name (Legal Business Name): RAMI I. ATOOT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 THE PROMENADE
EDGEWATER NJ
07020-2127
US

IV. Provider business mailing address

350 ENGLE ST
ENGLEWOOD NJ
07631-1808
US

V. Phone/Fax

Practice location:
  • Phone: 551-355-1200
  • Fax: 551-355-1212
Mailing address:
  • Phone: 201-887-5626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13198900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: