BASSAM M HADDAD (NPI# 1790784510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790784510 |
| Entity Type | Individual |
| Full Name | BASSAM M HADDAD |
| Credential | M.D |
| Practice Address |
26 Greenville Ave Jersey City NJ 07305-2608 |
| Practice Telephone | 2013338222 |
| Practice Fax Number | 2013330095 |
| Mailing Telephone | 2013338222 |
| Mailing Fax Number | 2013330095 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2016-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA03243600 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790949790 | Bassam E Haddad | Family Medicine | 877 W Faris Rd, Suite A, Greenville, SC 29605-4289 | 2008-07-18 |
| Street Address |
26 GREENVILLE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194277392 | New Jersey Kidney Care LLC | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305 | 2016-11-04 |
| 1598170656 | Jiyoung Back | Nurse Practitioner | 26 Greenville Ave, Jersey City, NJ 07305 | 2014-06-27 |
| 1598040875 | Direct Meds of Jersey City LLC | Pharmacy | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2011-10-18 |
| 1710131537 | Narender Goel | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2008-11-06 |
| 1750551875 | Deepika Jain | Internal Medicine | 26 Greenville Ave, Suite 1, Jersey City, NJ 07305-2608 | 2008-03-04 |
| 1821205063 | Bassam M Haddad, Md, Pa | Specialist | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2007-05-17 |
| 1235351297 | Danny B Haddad | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2007-05-02 |
| 1700885506 | Umrana Ahmed | Specialist | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1376100586 | Kariume Alexander Joyner | Specialist | 16 Bennett St Apt 311, Jersey City, NJ 07304-1091 | 2019-05-22 |
| 1003321787 | Jasmine N Wright | Specialist | 234 Fulton Ave Fl 2, Jersey City, NJ 07305-2210 | 2017-12-04 |
| 1124532064 | Integrative Obgyn Medical LLC | Specialist | 21 Mcwilliams Pl # Jc, Jersey City, NJ 07302-1609 | 2017-11-30 |
| 1578099594 | Orlando Velez | Specialist | 22 Carlton Ave, Jersey City, NJ 07307-3808 | 2017-05-11 |
| 1851836977 | Carolina Pineda | Specialist | 295 Clerk St, 2, Jersey City, NJ 07304-2799 | 2016-12-28 |
| 1023465044 | Nicole Olivia Brown | Specialist | 37 Jewett Ave, Jersey City, NJ 07304-3015 | 2016-05-19 |
| 1043674575 | Sara Goral | Specialist | 232 Pavonia Ave Apt 419, Jersey City, NJ 07302-1758 | 2016-04-11 |
| 1780043620 | Lao & Cheng Phyiscal Therapy | Specialist | 32 Cypress St, Jersey City, NJ 07305-4869 | 2016-02-21 |
| 1265859995 | Mae English | Specialist | 30 Newport Pkwy Apt 2112, Jersey City, NJ 07310-1512 | 2014-03-19 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on BASSAM M HADDAD.
| 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.