Healthcare Provider Details

I. General information

NPI: 1558860577
Provider Name (Legal Business Name): BIBI METABOLIC AND BARIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 MORRIS AVE
SPRINGFIELD NJ
07081-1526
US

IV. Provider business mailing address

649 MORRIS AVE
SPRINGFIELD NJ
07081-1526
US

V. Phone/Fax

Practice location:
  • Phone: 973-795-7955
  • Fax:
Mailing address:
  • Phone: 973-795-7955
  • Fax: 973-795-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA08982200
License Number StateNJ

VIII. Authorized Official

Name: SANIEA F MAJID
Title or Position: PRESIDENT
Credential: MD
Phone: 973-795-7955