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NPI Code Detail

MEDICARE: JOHN AKHNOUKH MD NJ PC

MEDICARE: JOHN AKHNOUKH MD NJ PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician
2207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1194689448
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN AKHNOUKH MD NJ PC
Provider Business Mailing Address
First Line : 12 CENTER DRIVE
Second Line :
City : ROSLYN
State : NY
Zip : 11576
Country : US
Telephone Number : 516-369-9910
Fax Number : 212-937-2140
Provider Business Practice Location Address
First Line : 12 RANDOLPH RD CENTER DRIVE
Second Line :
City : PLAINFIELD
State : NJ
Zip : 07060
Country : US
Telephone Number : 516-369-9910
Fax Number : 212-937-2140
Authorized Official
Title or Position : OWNER
Name : JOHN AKHNOUKH
Credential : M.D.
Telephone Number : 516-369-9910
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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