Healthcare Provider Details

I. General information

NPI: 1437511219
Provider Name (Legal Business Name): ALOBAIDI MD LLC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 02/25/2020
Certification Date: 02/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 Meadowlands PKWY 3RD FL
Secaucus NJ
07094
US

IV. Provider business mailing address

707 Harmon Cove Tower
Secaucus NJ
07094
US

V. Phone/Fax

Practice location:
  • Phone: 551-333-3686
  • Fax: 877-214-2593
Mailing address:
  • Phone: 551-333-3686
  • Fax: 877-214-2593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
Taxonomy207R00000X
License Number25MA10577100
License Number StateNew Jersey
# 2
Primary Taxonomy
Taxonomy Code
Taxonomy207R00000X
License Number308530
License Number StateNew york

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: