MEDICARE: HABIB HABIB

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	207RC0000X	Cardiovascular Disease Physician	25MA10750000	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	:	1598149643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HABIB HABIB

Provider Business Mailing Address
First Line	:	27 LOWRY CT
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07012-5360
Country	:	US
Telephone Number	:	501-352-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	637 ROUTE 23 STE 100
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1419
Country	:	US
Telephone Number	:	862-666-9210
Fax Number	:

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

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	12/22/2023

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Directions to “ HABIB HABIB ” Practice Location

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