Imdad LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

IMDAD LLC

Practice address

624 Alps Rd
Wayne, NJ 07470-3904

Phone

(718) 764-7547

NPI assigned

May 15, 2025

Organization subpart

No

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

Authorized official

Name

Nidal Kifaieh, MD

Title

Ceo

Phone

(718) 764-7547

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sahar Jaafar, PSY.D.

  • Clinical Psychologist
  • Wayne, NJ
  • NPI 1487549978
  Medicare reassignment NPD

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1760273122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703904",
            "telephone_number": "718-764-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703904",
            "telephone_number": "718-764-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMDAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "KIFAIEH",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-764-7547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Nutrition Education Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.