Healthcare Provider Details

I. General information

NPI: 1215416383
Provider Name (Legal Business Name): ALNAJAR MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N BROADWAY
MASSAPEQUA NY
11758-2120
US

IV. Provider business mailing address

1230 PARK AVE
AMHERST OH
44001-2540
US

V. Phone/Fax

Practice location:
  • Phone: 516-249-3138
  • Fax:
Mailing address:
  • Phone: 631-350-4402
  • Fax: 631-350-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA FREDERICK
Title or Position: CEO
Credential:
Phone: 631-350-4402