Active NPI
Amana Medical Group Inc
- Internal Medicine Physician
- West Paterson, NJ
National Provider Identifier
1548215411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA062346
- Legal business name
- AMANA MEDICAL GROUP INC
- Practice address
- 871 McBride Ave
West Paterson, NJ 07424-2745 - Phone
- (973) 569-4488
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yousef Zibdie, MD
- Title
- Owner
- Phone
- (973) 569-4488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA062346 | NJ | Primary |
Addresses
Primary practice location
871 McBride Ave
West Paterson, NJ 07424-2745
Mailing address
871 McBride Ave
West Paterson, NJ 07424-2745
Phone (973) 569-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6816509 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1548215411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 MCBRIDE AVE",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242745",
"telephone_number": "973-569-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 MCBRIDE AVE",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242745",
"telephone_number": "973-569-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANA MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "ZIBDIE",
"authorized_official_first_name": "YOUSEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-569-4488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA062346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6816509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.