Tarek Mardam Bey MD LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA59666 Issued in NJ

Legal business name

TAREK MARDAM BEY MD LLC

Practice address

2 Dean Drive
Tenafly, NJ 07670

Phone

(201) 569-0061

Fax

(201) 569-5602

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Tarek H Mardam Bey, MF

Title

Physician Owner

Phone

(201) 569-0061

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tarek Mardam Bey MD Former legal business name

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1497804728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DRIVE",
            "address_2": "1ST FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-569-0061",
            "fax_number": "201-569-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DRIVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-569-0061",
            "fax_number": "201-569-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK MARDAM BEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MARDAM BEY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "201-569-0061",
        "authorized_official_credential": "MF"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA59666",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA59666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D063061",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6309305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarek Mardam Bey MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kielin Stiffel, BCBA
• David M Subin, D.C.
• Lynn Sugarman
• Vinod Pachagiri Suresh, M.D.
• Ari Sytner, DPM
• Tenafly Art of Fitness
• Tenafly Board of Education
• Tenafly Chiropractic Center
• Tenafly Dental Associates, PC
• Tenafly Dental Spa PC

• Orthopaedic Surgery Physician in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.