CMS-1500 Box 24J / 33a • NPI
1689513467
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
390200000X
Licensed & Credentialed Student in an Organized Health Care Education/Training Program
Box 32 Service Location & ZIP+4
1610 ROUTE 88, BRICK, NJ, 08724-3018
✓ 9-Digit EDI 837 ZIP+4 (08724-3018)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689513467 (HAITHAM IBRAHIM KHALEL AL GHARAIBEH, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689513467 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HAITHAM IBRAHIM KHALEL AL GHARAIBEH, MD |
| Plain-English Specialty | Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: 390200000X (Student in an Organized Health Care Education/Training Program) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1610 ROUTE 88, BRICK, NJ, 08724-3018 |
| Practice Telephone / Fax | Tel: (732) 295-6558 | Fax: (732) 295-6090 |
| Administrative Mailing Address | 2131 COPLEY RD APT B21, AKRON, OH, 44320-1575 |
| Enumeration & Last Sync | Enumerated: 2026-03-26 | CMS Record Updated: 2026-03-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (390200000X)
What Does Taxonomy Code 390200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HAITHAM IBRAHIM KHALEL AL GHARAIBEH, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: NJ | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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