Provider Demographics
NPI:1831452986
Name:MOUGHRABI, MOHAMMED AMER (MD, DC)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:AMER
Last Name:MOUGHRABI
Suffix:
Gender:M
Credentials:MD, DC
Other - Prefix:DR
Other - First Name:MAHAMMED
Other - Middle Name:AMER
Other - Last Name:MOUGHRABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD DC
Mailing Address - Street 1:91 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-1026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:91 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-1026
Practice Address - Country:US
Practice Address - Phone:973-523-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00549200111N00000X
NJ25MA11580100207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No111N00000XChiropractic ProvidersChiropractor
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine