| Imdad LLC | |
|
624 Alps Rd Wayne NJ 07470-3904 | |
| (718) 764-7547 | |
| Not Available |
| Full Name | Imdad LLC |
|---|---|
| Speciality | Nutritionist |
| Location | 624 Alps Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Nidal Kifaieh (CEO) |
| Authorized Official Contact | 7187647547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imdad LLC 624 Alps Rd Wayne NJ 07470-3904 Ph: (718) 764-7547 | Imdad LLC 624 Alps Rd Wayne NJ 07470-3904 Ph: (718) 764-7547 |
| NPI Number | 1760273122 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Medicare PECOS PAC ID | 3476039637 |
|---|---|
| Medicare Enrollment ID | O20260108000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760273122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | () | Primary |
| Provider Name | Sahar Jaafar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487549978 PECOS PAC ID: 3476039645 Enrollment ID: I20260108000680 |
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