Provider Demographics
NPI:1154367027
Name:NAJJAR, RAMI J (MD)
Entity type:Individual
Prefix:DR
First Name:RAMI
Middle Name:J
Last Name:NAJJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3517
Mailing Address - Country:US
Mailing Address - Phone:201-439-1507
Mailing Address - Fax:
Practice Address - Street 1:333 ROUTE 25A STE 225
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8802
Practice Address - Country:US
Practice Address - Phone:631-503-1400
Practice Address - Fax:631-744-6205
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213838174400000X
NY203838207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01766536Medicaid
NYG43595Medicare UPIN
NY74U301Medicare ID - Type Unspecified