Healthcare Provider Details

I. General information

NPI: 1427921212
Provider Name (Legal Business Name): AHMED TOHAMI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 BERGENLINE AVE
NORTH BERGEN NJ
07047-5235
US

IV. Provider business mailing address

200 WINSTON DR APT 603
CLIFFSIDE PARK NJ
07010-3214
US

V. Phone/Fax

Practice location:
  • Phone: 202-869-3930
  • Fax:
Mailing address:
  • Phone: 201-869-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04458700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: