Avicenna Medical Group, LLC
NPI 1194067959 · Mental Health Counselor · West Orange, NJ
Avicenna Medical Group, LLC is a Mental Health Counselor organization in West Orange, NJ (NPI 1194067959).
Provider details
- NPI number
- 1194067959
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fadi Samaan, Manager(646) 464-3110
- License
- 25MB07627000 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-03-22
Frequently asked questions
- What is Avicenna Medical Group, LLC's NPI number?
- Avicenna Medical Group, LLC's National Provider Identifier (NPI) is 1194067959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avicenna Medical Group, LLC?
- Avicenna Medical Group, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Avicenna Medical Group, LLC located?
- Avicenna Medical Group, LLC's practice location on file with NPPES is 414 Eagle Rock Ave, West Orange, NJ 07052-4224.
- What is Avicenna Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Avicenna Medical Group, LLC is (646) 464-3110.
- Who is the authorized official for Avicenna Medical Group, LLC?
- The authorized official listed on Avicenna Medical Group, LLC's NPPES record is Fadi Samaan, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avicenna Medical Group, LLC's NPI active?
- Yes — Avicenna Medical Group, LLC's NPI (1194067959) is active in the NPPES registry as of the last update on 2013-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.