Dr.Riad Kabakibi

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MA04332 Issued in NJ

Legal business name

DR.RIAD KABAKIBI

Practice address

255 Route 3
Suite 206a
Secaucus, NJ 07094-3857

Phone

(201) 867-6677

Fax

(201) 520-0316

NPI assigned

Feb 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lama Kabakibi

Title

Office Manager

Phone

(201) 867-6677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riad Ahmed Kabakibi, M.D.

  • Specialist
  • Secaucus, NJ
  • NPI 1609896406
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1407153802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROUTE 3",
            "address_2": "SUITE 206A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-867-6677",
            "fax_number": "201-520-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 3",
            "address_2": "SUITE 206A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-867-6677",
            "fax_number": "201-520-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.RIAD KABAKIBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "KABAKIBI",
        "authorized_official_first_name": "LAMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-867-6677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "MA04332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Carlton Dixon, MD
• Mohammad Hossein Dorri, M.D.
• Nermine Doss, MD
• Downtown Physicians of New Jersey LLC
• Dr. Anthony R. Scarpello, P.a.
• Drrobertberckesllc
• Vinit Dubey, PT, DPT
• Jennifer Andrea Duda, RD
• Chinonyerem Ikenna Ejiofor, D.C.
• Jaspreet Gill Ejiofor, D.C

• Exclusive Provider Organization in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.