Healthcare Provider Details

I. General information

NPI: 1366175432
Provider Name (Legal Business Name): NAZISH NAJEEB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HAMILTON AVE
TRENTON NJ
08629-1915
US

IV. Provider business mailing address

601 HAMILTON AVE
TRENTON NJ
08629-1915
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-5061
  • Fax: 609-599-6232
Mailing address:
  • Phone: 609-599-5061
  • Fax: 609-599-6232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD61638526
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: