Organization Active NPI

Amana Medical Group Inc

  • Internal Medicine Physician
  • West Paterson, NJ
National Provider Identifier
1548215411
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA062346 Issued in NJ
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

Updated by the provider on Jun 2, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6816509MedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.