Healthcare Provider Details

I. General information

NPI: 1356180491
Provider Name (Legal Business Name): NADER MEKHEAL MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 MAIN ST
PATERSON NJ
07503-2621
US

IV. Provider business mailing address

33B SALISBURY RD
WAYNE NJ
07470-7811
US

V. Phone/Fax

Practice location:
  • Phone: 973-757-2431
  • Fax: 973-446-8639
Mailing address:
  • Phone: 973-757-2431
  • Fax: 973-446-8639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NADER MEKHEAL
Title or Position: OWNER
Credential: MD
Phone: 973-754-2431