NPI Code Details Logo

NPI 1730820762

NPI 1730820762 : ALIA MOHSIN CHOUDHRY MBBS : PERTH AMBOY, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730820762
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALIA MOHSIN CHOUDHRY MBBS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/05/2022
-----------------------------------------------------
    Last Update Date     |    05/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    530 NEW BRUNSWICK AVE 
-----------------------------------------------------
    City                 |    PERTH AMBOY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08861-3685
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-442-3700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4500 PARSONS BLVD 
-----------------------------------------------------
    City                 |    FLUSHING
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11355-2205
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-670-5939
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    25MA12658100
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.