Provider Demographics
NPI:1386238707
Name:ALDAD MEDICAL NJ, P.C
Entity type:Organization
Organization Name:ALDAD MEDICAL NJ, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-505-7200
Mailing Address - Street 1:510 HEMPSTEAD TPKE RM 203
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1152
Mailing Address - Country:US
Mailing Address - Phone:516-559-4041
Mailing Address - Fax:
Practice Address - Street 1:221 RIVER ST STE 901
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5989
Practice Address - Country:US
Practice Address - Phone:516-505-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty