Active NPI
Ammar Ahmed Kadri Abdalla Ismail, M.D
- Student in an Organized Health Care Education/Training Program
- Jersey City, NJ
National Provider Identifier
1306533609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 355 Grand Street
Department of Medicine 1 East
Jersey City, NJ 07302 - Phone
- (201) 915-2000
- Fax
- (201) 915-2219
- NPI assigned
- Apr 18, 2023
- Reactivated
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
355 Grand Street
Department of Medicine 1 East
Jersey City, NJ 07302
Mailing address
19 E 19TH St, Apt 522
Bayonne, NJ 07002
Phone (216) 418-2945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1306533609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E 19TH ST, APT 522",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "216-418-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND STREET",
"address_2": "DEPARTMENT OF MEDICINE 1 EAST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-915-2000",
"fax_number": "201-915-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "AMMAR",
"middle_name": "AHMED KADRI ABDALLA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2025-02-24",
"certification_date": "2023-04-18",
"deactivation_date": "2023-11-22",
"reactivation_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.