Active NPIIndividual provider

Amneh Kaddour, OD

Optometrist in Iselin, New Jersey

NPI Number1669143210
Practice location
485 US 1, Iselin, NJ 08830
Fax
—
Last updated
September 23, 2021

Amneh Kaddour is an Optometrist based in Iselin, NJ. Amneh Kaddour practices in Iselin, NJ and has the professional credentials of OD. The NPI Number for Amneh Kaddour is 1669143210 and holds a License No. 009396 (NY). The current practice location address for Amneh Kaddour is 485 US 1, Iselin, NJ 08830 and can be reached out via phone at 732-750-0400.

Provider Profile Details

NPI Number
1669143210
Provider Name
Amneh Kaddour
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
485 US 1, Iselin, NJ 08830
Phone Number
732-750-0400
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
Amineh Kaddour, OD (Other Name)
Provider Enumeration Date
September 23, 2021
Last Update Date
September 23, 2021
Certification Date
September 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
485 US 1
Iselin, NJ 08830
City
Iselin
Zip
08830
Phone Number
732-750-0400
Iselin, NJ 08830Get directions →

Provider Business Mailing Address Details

Address
10225 67TH Dr Apt 5R
Forest Hills, NY 11375-2877
City
Forest Hills
State
NY
Zip
11375-2877
Phone Number
201-838-0575

License Information

License Number (1)
009396
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00706800
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · 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 Amneh Kaddour, OD?

The NPI number of Amneh Kaddour, OD is 1669143210. It was assigned on September 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Amneh Kaddour, OD?

Amneh Kaddour, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 009396.

Where does Amneh Kaddour, OD practice?

The practice location is 485 US 1, Iselin, NJ 08830. The office can be reached at 732-750-0400 (phone).

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 1669143210 directly on the NPPES registry website.

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