S M G Kibrea, MD
Internal Medicine in Hackensack, New Jersey
1306012182- Practice location
- 170 Prospect Ave,, Suite 6, Hackensack, NJ 07801
- Phone
- 201-763-6664
- Fax
- 201-621-5820
- Last updated
- October 30, 2013
S M Golam Kibrea is an Internal Medicine based in Hackensack, NJ. S M Golam Kibrea practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for S M Golam Kibrea is 1306012182 and holds a License No. 25MA08794300 (NJ). The current practice location address for S M Golam Kibrea is 170 Prospect Ave,, Suite 6, Hackensack, NJ 07801 and can be reached out via phone at 201-763-6664 and via fax at 201-621-5820.
Provider Profile Details
- NPI Number
- 1306012182
- Provider Name
- S M Golam Kibrea
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 170 Prospect Ave,, Suite 6, Hackensack, NJ 07801
- Phone Number
- 201-763-6664
- Fax Number
- 201-621-5820
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2008
- Last Update Date
- October 30, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Prospect Ave,
Suite 6
Hackensack, NJ 07801 - City
- Hackensack
- State
- New Jersey
- Zip
- 07801
- Phone Number
- 201-763-6664
- Fax Number
- 201-621-5820
Provider Business Mailing Address Details
- Address
- 1809 John F. Kennedy Blvd,
Ground Floor
Jersey City, NJ 07305 - City
- Jersey City
- State
- NJ
- Zip
- 07305
- Phone Number
- 201-763-6664
- Fax Number
- 201-621-5820
License Information
- License Number
- 25MA08794300
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of S M G Kibrea, MD?
The NPI number of S M G Kibrea, MD is 1306012182. It was assigned on May 1, 2008 and is currently active in the NPPES registry.
What is the specialty of S M G Kibrea, MD?
S M G Kibrea, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08794300.
Where does S M G Kibrea, MD practice?
The practice location is 170 Prospect Ave,, Suite 6, Hackensack, NJ 07801. The office can be reached at 201-763-6664 (phone) or 201-621-5820 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306012182 directly on the NPPES registry website.