| Al Obaidi Md Llc | |
|
18 W Ridgewood Ave # 2 Paramus NJ 07652-2333 | |
| (551) 333-3686 | |
| (877) 214-2593 |
| Full Name | Al Obaidi Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18 W Ridgewood Ave # 2, Paramus, New Jersey |
| Authorized Official Name and Position | Nawar Falih Al Obaidi (CEO) |
| Authorized Official Contact | 5513333686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Al Obaidi Md Llc Po Box 336 Ramsey NJ 07446-0336 Ph: (513) 333-3686 | Al Obaidi Md Llc 18 W Ridgewood Ave # 2 Paramus NJ 07652-2333 Ph: (551) 333-3686 |
| NPI Number | 1669117479 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/15/2026 |
| Medicare PECOS PAC ID | 4284012352 |
|---|---|
| Medicare Enrollment ID | O20220601001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669117479 | NPI | - | NPPES |
| 0698695 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Johanna Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447836234 PECOS PAC ID: 5496106197 Enrollment ID: I20240108000154 |
| Provider Name | Diana Casianos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259214 PECOS PAC ID: 9830633403 Enrollment ID: I20240708000895 |
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