Jamal Ali Omar Jr.

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

C153041120609 Issued in MN

Practice address

428 Central Ave W
Saint Paul, MN 55103-2248

NPI assigned

Mar 9, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1639826662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 LAFOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041606",
            "telephone_number": "651-529-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CENTRAL AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 LaFond Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551041606",
            "country_code": "US",
            "telephone_number": "651-529-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMAR",
        "first_name": "JAMAL",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "MN",
            "license": "C153041120609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C153041120609",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamza Aweis Omar
• Hawo Omar
• Idle H Omar
• Ikram Omar
• Intisar Omar
• Lado Isdabool Omar
• Mahad Omar
• Marian Omar
• Muhsan Jafar Omar
• Muna Omar, DDS

• Transportation Network Company in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Transportation Network Company in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.