Provider Demographics
NPI:1265605786
Name:EMAN AL-JANABI, MD
Entity type:Organization
Organization Name:EMAN AL-JANABI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-274-6700
Mailing Address - Street 1:PO BOX 9686
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11555-9686
Mailing Address - Country:US
Mailing Address - Phone:732-274-6700
Mailing Address - Fax:
Practice Address - Street 1:367 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3161
Practice Address - Country:US
Practice Address - Phone:732-274-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2040331207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYHN4C8494OtherHEALTHNET
NY000370110748OtherHEALTHPLUS
NYP00208712OtherMEDICARE RAILROAD
NY000000042950OtherGHI HMO
NY5245690OtherATENA
NYP800537OtherOXFORD
NY01760690Medicaid
NY1699733071OtherEMPIRE BLUE CROSS
NY0299735OtherGHI PPO
NY8702889003OtherCIGNA
NYP00208712OtherMEDICARE RAILROAD
NY8702889003OtherCIGNA