ISLAM KASSAB (NPI# 1831593961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831593961 |
| Entity Type | Individual |
| Full Name | ISLAM KASSAB |
| Credential | PA-C |
| Practice Address |
703 Main Street Paterson NJ 07503 |
| Mailing Address |
128 Leonard St Jersey City NJ 07307-3102 |
| Practice Telephone | 9737542486 |
| Practice Fax Number | 9737542975 |
| Mailing Telephone | 2017809487 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00354100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
703 MAIN STREET |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182403 | Michael C Erlichman | Dentist | 703 Main Street, St. Joseph's Regional Medical Center, Paterson, NJ 07503 | 2005-05-24 |
| 1386265569 | Tanisha Prashant Wandhare | Student in an Organized Health Care Education/Training Program | 703 Main Street, Department of Surgery/trauma, St. Joseph's University M, Paterson, NJ 07503 | 2020-04-29 |
| 1407372238 | Kristen F Henderson | Pediatrics | 703 Main Street, Pediatrics Department - Picu, Paterson, NJ 07503-0750 | 2017-08-14 |
| 1942757125 | Saint Joseph Regional Medical Center | Long Term Care Hospital | 703 Main Street, Paterson, NJ 07503-3700 | 2016-09-06 |
| 1821544115 | Vinod Kumar | Internal Medicine | 703 Main Street, Paterson, NJ 07503 | 2016-08-28 |
| 1851766588 | Sundus Abbasi | Student in an Organized Health Care Education/Training Program | 703 Main Street, Paterson, NJ 07053 | 2015-12-07 |
| 1043638638 | Jerome Edward Balbin | Emergency Medicine | 703 Main Street, Department of Emergency Medicine, Paterson, NJ 07503 | 2014-04-01 |
| 1891033106 | Melissa Slivka | Social Worker | 703 Main Street, Paterson, NJ 07503-2621 | 2013-01-21 |
| 1679823645 | Michael Hanna | Internal Medicine | 703 Main Street, Paterson, NJ 07503-2621 | 2012-09-17 |
| 1144587502 | Haris Kalatoudis | Internal Medicine | 703 Main Street, Medicine Department, Paterson, NJ 07503-0750 | 2012-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285940841 | Dayana Alexandra Cannan | Physician Assistant | 703 Main St, Paterson, NJ 07503 | 2010-08-20 |
| 1043344807 | Seth B Zebrak | Physician Assistant | 703 Main St, Paterson, NJ 07503-2621 | 2007-03-15 |
| 1962432435 | Gaby Salib | Physician Assistant | 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503-2621 | 2006-07-03 |
| 1578501425 | Michael D Freeman | Physician Assistant | 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503-2621 | 2006-06-03 |
| 1164478228 | Ronald J Ferrer | Physician Assistant | 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503-2621 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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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.