Healthcare Provider Details

I. General information

NPI: 1750812087
Provider Name (Legal Business Name): AHMED SHOKRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ESSEX RD FL 2
PARAMUS NJ
07652-1451
US

IV. Provider business mailing address

15 ESSEX RD FL 2
PARAMUS NJ
07652-1451
US

V. Phone/Fax

Practice location:
  • Phone: 201-270-4588
  • Fax: 201-270-4589
Mailing address:
  • Phone: 201-270-4588
  • Fax: 201-270-4589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11738200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: