Provider Demographics
NPI:1770527467
Name:OKBY, NADER (MD)
Entity type:Individual
Prefix:
First Name:NADER
Middle Name:
Last Name:OKBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:WESTTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10998-2824
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 NOTT STREET
Practice Address - Street 2:ELLIS HOSPITAL
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2650
Practice Address - Country:US
Practice Address - Phone:518-243-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212800207ZP0102X
CT69715207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038504Medicaid
NY220026665OtherRAILROAD MEDICARE
NJ084228TGNMedicare PIN
NJ0038504Medicaid
NY220026665OtherRAILROAD MEDICARE