Healthcare Provider Details

I. General information

NPI: 1265844872
Provider Name (Legal Business Name): ADAM ATOOT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2014
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ STE 500
HACKENSACK NJ
07601-6228
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 500
HACKENSACK NJ
07601-6228
US

V. Phone/Fax

Practice location:
  • Phone: 551-340-8300
  • Fax: 551-340-8399
Mailing address:
  • Phone: 551-340-8300
  • Fax: 551-340-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA10043100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: