MEDICARE: M MAHER A. BADRI MD

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	25MA06158700	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	:	1982785085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	M MAHER A. BADRI MD

Provider Business Mailing Address
First Line	:	8915 BERGENWOOD AVE APT 3
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-5347
Country	:	US
Telephone Number	:	201-295-1616
Fax Number	:	201-295-0032

Provider Business Practice Location Address
First Line	:	8915 BERGENWOOD AVE
Second Line	:	SUITE # 3
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-5349
Country	:	US
Telephone Number	:	201-295-1616
Fax Number	:	201-295-0032

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	11/26/2025

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