Saif Omar Al-Shobaki, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brick, NJ
NPI 1710734876 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1710734876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 425 Jack Martin Blvd.
Brick, NJ 08724 - Phone
- (732) 840-2200
- NPI assigned
- May 6, 2024
- Reactivated
- Jan 9, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
425 Jack Martin Blvd.
Brick, NJ 08724
Mailing address
425 Jack Martin Blvd.
Brick, NJ 08724
Phone (732) 840-2200
Other providers in Brick, NJ
- Zaka Ullah Navid Ahmed
- Aida Rodriguez LCSW LLC
- Olusola R Akintola
- Haitham Ibrahim Khalel Al Gharaibeh
- Sura Al-Azzawi
- Haitham Ahmad Al-Zoabi
- Ambika Ragbir Alagona
- Hashem Alakshar
- Joseph James Albanese
- Anne Catherine Albiez
All providers in Brick, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. 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.