PASSAIC MEDICAL CARE INC (NPI# 1225408313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225408313 |
| Entity Type | Organization |
| Organization Name | PASSAIC MEDICAL CARE INC |
| Practice Address |
362 Monroe St Passaic NJ 07055-4114 |
| Practice Telephone | 9737773222 |
| Practice Fax Number | 9737773225 |
| Mailing Telephone | 9737773222 |
| Mailing Fax Number | 9737773225 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | NAEL A ABUTABIKH (PHYSICIAN) |
| Authorized Official Telephone | 9737773222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA07945900 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0079049 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184811390 | Passaic Medical Care Inc | Internal Medicine | 166 Main Ave, Passaic, NJ 07055-5442 | 2007-10-02 |
| 1659749844 | Passaic Medical Care Inc | Nurse Practitioner | 1135 Main Ave, Suite 3, Clifton, NJ 07011-2353 | 2015-09-04 |
| Street Address |
362 MONROE ST |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316071194 | Bhura Joitabhai Patel | Pharmacist | 362 Monroe St, Suite # C, Passaic, NJ 07055-4114 | 2007-03-15 |
| 1922514330 | Evangelina M. Roque | Nurse Practitioner | 362 Monroe St, Passaic, NJ 07055-4114 | 2017-12-20 |
| 1376802322 | Jahanara Rouf | Physician Assistant | 362 Monroe St, Passaic, NJ 07055-4114 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| 1366995896 | Passaic Medical Walk-in and Wellness Center LLC | Clinic/Center | 916 Main Ave, Passaic, NJ 07055-8545 | 2016-08-02 |
| 1235538042 | New Beginnings Family Health LLC | Clinic/Center | 105 Van Houten Ave, Suite A, Passaic, NJ 07055-5518 | 2014-08-18 |
| 1275949158 | Alpha Care Pediatrics, LLC | Clinic/Center | 124 Gregory Ave, Suite 201, Passaic, NJ 07055-4856 | 2014-07-11 |
| 1215350269 | Center for Med Care, PC | Clinic/Center | 916-922 Main Ave, Passaic, NJ 07055-8544 | 2014-01-28 |
| 1588824163 | Demuro & Associates LLC | Clinic/Center | 338 Chestnut St, Passaic, NJ 07055-3158 | 2008-06-17 |
| 1588866156 | Jennifer Solomon Md LLC | Clinic/Center | 203 Passaic Ave, Passaic, NJ 07055-4717 | 2007-06-04 |
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| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1790253722 | Completecure Medical Associates, LLC | Clinic/Center | 1005 Clifton Ave Ste 201, Clifton, NJ 07013-3523 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.