Amal Aly, MD., PHD
Individual provider Active NPI Ph.D. Medical Genetics · Pine Brook, NJ
NPI 1255925699 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1255925699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ph.D. Medical Genetics 170100000X
- License
- 25MS00020400 (NJ)
- Practice address
- 25 Riverside Dr Ste 2
Pine Brook, NJ 07058-9391 - Phone
- (888) 599-5227
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MS00020400 | NJ | MD | Ph.D. Medical Genetics |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siparadigm LLC | Current |
Accepting new patients |
Locations
25 Riverside Dr
Ste 2
Pine Brook, NJ 07058
Phone (201) 599-9044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 25MS00020400 | NJ | |
| Ph.D. Medical Genetics | 170100000X | 25MS00020400 | NJ | Yes |
Addresses
Primary practice location
25 Riverside Dr Ste 2
Pine Brook, NJ 07058-9391
Mailing address
5 Rockledge Ter
Chatham, NJ 07928-1215
Phone (917) 453-3803
Other providers in Pine Brook, NJ
- Accredo Health Group Inc
- Accredo Health Group Inc
- Adam Diagnostic Lab
- Advoserv of New Jersey, Inc.
- Peggy Ahn
- Angelsense Inc.
- Elisabeth Annor
- Arcadian Healthcare Inc
- Nancy A Bayda
- Lauren Benjamin
All providers in Pine Brook, NJ · Ph.D. Medical Genetics in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.