Active NPIIndividual providerSole proprietor

Mr. Samuel I Mallouhi, MD

Internal Medicine in Woodland Park, New Jersey

NPI Number1659312098
Practice location
1031 Mcbride Ave, Suite D205, Woodland Park, NJ 07424-2559
Fax
973-237-9053
Last updated
July 1, 2013

Samuel Issam Mallouhi is an Internal Medicine based in Woodland Park, NJ. Samuel Issam Mallouhi practices in Woodland Park, NJ and has the professional credentials of MD. The NPI Number for Samuel Issam Mallouhi is 1659312098 and holds a License No. MA61762 (NJ). The current practice location address for Samuel Issam Mallouhi is 1031 Mcbride Ave, Suite D205, Woodland Park, NJ 07424-2559 and can be reached out via phone at 973-237-9055 and via fax at 973-237-9053.

Provider Profile Details

NPI Number
1659312098
Provider Name
Samuel Issam Mallouhi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1031 Mcbride Ave, Suite D205, Woodland Park, NJ 07424-2559
Phone Number
973-237-9055
Fax Number
973-237-9053
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
Mr. Issam Mallouhi, MD (Other Name)
Provider Enumeration Date
June 9, 2006
Last Update Date
July 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1031 Mcbride Ave
Suite D205
Woodland Park, NJ 07424-2559
Zip
07424-2559
Phone Number
973-237-9055
Fax Number
973-237-9053
Woodland Park, NJ 07424Get directions →

Provider Business Mailing Address Details

Address
1031 Mcbride Ave
Suite D205
Woodland Park, NJ 07424-2559
City
Woodland Park
State
NJ
Zip
07424-2559
Phone Number
973-237-9055
Fax Number
973-237-9053

License Information

License Number (1)
MA61762
License State (1)
NJ
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
MA061762
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Samuel I Mallouhi, MD?

The NPI number of Mr. Samuel I Mallouhi, MD is 1659312098. It was assigned on June 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Samuel I Mallouhi, MD?

Mr. Samuel I Mallouhi, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA61762.

Where does Mr. Samuel I Mallouhi, MD practice?

The practice location is 1031 Mcbride Ave, Suite D205, Woodland Park, NJ 07424-2559. The office can be reached at 973-237-9055 (phone) or 973-237-9053 (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 1659312098 directly on the NPPES registry website.

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