Provider Demographics
NPI:1528451762
Name:MEHDI H.NAQUI MD,PA
Entity type:Organization
Organization Name:MEHDI H.NAQUI MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:H
Authorized Official - Last Name:NAQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-297-4100
Mailing Address - Street 1:1574 RTE 130
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3011
Mailing Address - Country:US
Mailing Address - Phone:732-297-4100
Mailing Address - Fax:
Practice Address - Street 1:1574 RTE 130
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3011
Practice Address - Country:US
Practice Address - Phone:732-297-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1D3076806Medicaid
NJ439149Medicare UPIN