Provider Demographics
NPI:1831520931
Name:SPECIALTY MEDCONSULTANTS LLC
Entity type:Organization
Organization Name:SPECIALTY MEDCONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMIM
Authorized Official - Middle Name:HANI
Authorized Official - Last Name:NABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-421-6785
Mailing Address - Street 1:6725 VENTNOR AVE
Mailing Address - Street 2:STE C
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2166
Mailing Address - Country:US
Mailing Address - Phone:609-350-6780
Mailing Address - Fax:609-350-6995
Practice Address - Street 1:6725 VENTNOR AVE
Practice Address - Street 2:STE C
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-2166
Practice Address - Country:US
Practice Address - Phone:609-350-6780
Practice Address - Fax:609-350-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-29
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty