Bruce Abdullah
Individual provider Active NPI Peer Specialist · Newark, NJ
NPI 1679488969 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1679488969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 23 Branford PL Ste 2
Newark, NJ 07102-2711 - Phone
- (973) 623-7878
- NPI assigned
- Aug 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NJ | Yes |
Addresses
Primary practice location
23 Branford PL Ste 2
Newark, NJ 07102-2711
Mailing address
302 6TH Ave W Apt 502
Newark, NJ 07107-3633
Phone (201) 443-7822
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.