# IMDAD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760273122
- **Authorized official:** NIDAL KIFAIEH MD (CEO)
- **Authorized official phone:** (718) 764-7547

## Contact information

- **Practice address:** 624 ALPS RD, WAYNE, NJ 07470-3904
- **Practice address phone:** (718) 764-7547
- **Mailing address:** 624 ALPS RD, WAYNE, NJ 07470-3904
- **Mailing address phone:** (718) 764-7547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 10/15/2025