Basic Information
| Provider Information | |||||||||
| NPI: | 1023104411 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AGHAI | ||||||||
| FirstName: | ZUBAIRUL | ||||||||
| MiddleName: | HASAN | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | AGHAI | ||||||||
| OtherFirstName: | ZUBAIR | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 191 | ||||||||
| Address2: | |||||||||
| City: | ROCKLAND | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197320191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026514000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 01/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | MD420707 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2080N0001X | MD420767 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2080N0001X | MA69825 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 25674 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 8251002 | 05 | NJ | MEDICAID | 3K5972 | 01 | NJ | HEALTHNET | OTHER | 370016813 | 01 | NJ | RR MEDICARE | OTHER | 4566652 | 01 | NJ | CIGNA | OTHER | 2969288 | 01 | NJ | AETNA | OTHER | 459445 | 01 | NJ | AMERIHEALTH PPO/PABS | OTHER | 0483429000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 1127126 | 01 | NJ | HORIZON NJ HEALTH | OTHER | P2483185 | 01 | NJ | OXFORD | OTHER | 010002101 | 01 | NJ | AMERICHOICE | OTHER | 1975392 | 01 | NJ | UNITED HEALTHCARE | OTHER |