Provider Demographics
NPI:1225092703
Name:ALMUSA, EMAD (DO)
Entity type:Individual
Prefix:DR
First Name:EMAD
Middle Name:
Last Name:ALMUSA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAYAL MEDICAL GROUP LLC
Mailing Address - Street 2:784 FRANKLIN AVENUE SUITE 250
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417
Mailing Address - Country:US
Mailing Address - Phone:917-776-2936
Mailing Address - Fax:
Practice Address - Street 1:KAYAL MEDICAL GROUP LLC
Practice Address - Street 2:784 FRANKLIN AVENUE SUITE 120
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417
Practice Address - Country:US
Practice Address - Phone:917-776-2936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2228932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02582089Medicaid
NY02582089Medicaid
NY765S11Medicare ID - Type Unspecified