MEDICARE: ALI JABER

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
1	122300000X	Dentist	22DI03118000	NJ

General Provider Information

NPI Number	:	1437808318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI JABER

Provider Business Mailing Address
First Line	:	297 HAVERSTRAW RD
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-3431
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	297 HAVERSTRAW RD
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-3431
Country	:	US
Telephone Number	:	202-288-3629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2022
Last Update Date	:	02/22/2026

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Directions to “ ALI JABER ” Practice Location

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