Provider Demographics
NPI:1376414797
Name:BIBI, NASIM (APN)
Entity type:Individual
Prefix:
First Name:NASIM
Middle Name:
Last Name:BIBI
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 VALLEY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-2316
Mailing Address - Country:US
Mailing Address - Phone:973-770-7899
Mailing Address - Fax:973-770-7840
Practice Address - Street 1:400 VALLEY RD STE 102
Practice Address - Street 2:
Practice Address - City:MT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-2316
Practice Address - Country:US
Practice Address - Phone:973-770-7899
Practice Address - Fax:973-770-7840
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15381600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner