MEDICARE: SAHARA MEDICAL ASSOCIATES, 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
1	207R00000X	Internal Medicine Physician	25MA07167500	NJ
2	207Q00000X	Family Medicine Physician	25MA08079800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528117827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAHARA MEDICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2775 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5515
Country	:	US
Telephone Number	:	201-222-7899
Fax Number	:	201-222-7801

Provider Business Practice Location Address
First Line	:	2775 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5515
Country	:	US
Telephone Number	:	201-222-7899
Fax Number	:	201-222-7801

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABAID CHOUDRY
Credential	:	M.D.
Telephone Number	:	201-222-7899

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	09/11/2025

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