RENAL HYPERTENSION ASSOCIATES PA (NPI# 1912041229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912041229 |
| Entity Type | Organization |
| Organization Name | RENAL HYPERTENSION ASSOCIATES PA |
| Practice Address |
100 Main St Paterson NJ 07505-1024 |
| Practice Telephone | 9735230317 |
| Practice Fax Number | 9736848590 |
| Mailing Telephone | 9735230317 |
| Mailing Fax Number | 9736848590 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LOWELL T TACLOB (DOCTOR) |
| Authorized Official Telephone | 9735230317 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261Q00000X | Clinic/Center | 25MA02844600 | NJ | Ambulatory Health Care Facilities |
| X | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
25MA02844600 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON NJ HEALTH | 1071331 | 01 |
| Street Address |
100 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07505-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848399 | Paterson Optometric Group | Optometrist | 100 Main St, Paterson, NJ 07505-1024 | 2019-05-30 |
| 1619378239 | 100 Main Medical Associates | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2014-09-15 |
| 1619131398 | Michelle Maria Taclob | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2008-07-11 |
| 1902958861 | Paterson Eye Associates | Ophthalmology | 100 Main St, Paterson, NJ 07505-1024 | 2007-01-18 |
| 1184647273 | Erlinda V Taclob | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2006-07-26 |
| 1164446209 | Lowell T Taclob | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1700031283 | Robert Rekker | Psychologist | 100 Hamilton Plz Ste 101, Paterson, NJ 07505 | 2008-11-25 |
| 1568664951 | James John Hussey | Social Worker | 56 Hamilton S, Paterson, NJ 07505 | 2007-06-05 |
| 1659414910 | Stephen Sherman | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-02-15 |
| 1629089909 | Smile Central Dental PC | Dentist | 140 Market Street, 3rd Floor, Paterson, NJ 07505 | 2006-08-11 |
| 1619969581 | Damon House, Inc. | Substance Abuse Rehabilitation Facility | 175 Market St., Paterson, NJ 07505 | 2005-08-17 |
| 1295228377 | Jayasree Dokku | Pharmacist | 102 Broadway, Paterson, NJ 07505 | 2018-06-12 |
| 1619473089 | Meena Al-talib | Dentist | 140 Market St, Paterson, NJ 07505 | 2018-04-03 |
| 1083830384 | Mahir Saleh | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-04-17 |
| 1801929591 | West Broadway Dental Pa | Dentist | 1 West Broadway, Paterson, NJ 07505 | 2007-03-13 |
| Find all providers in zip 07505 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154583961 | Challenge Programs of Nj | Clinic/Center | 5 Colt St, Suite 400, Paterson, NJ 07505-1419 | 2008-07-02 |
| 1356968689 | Preparing Adoloscents & Adults Ideologies Now | Clinic/Center | 207 Broadway, Paterson, NJ 07501-2002 | 2020-07-02 |
| 1669881975 | Paterson Medical Health Services Corporation | Clinic/Center | 680 Broadway, Suite 101, Paterson, NJ 07514-1524 | 2014-08-12 |
| 1699018242 | Eva's Village, Inc. | Clinic/Center | 393 Main St, Paterson, NJ 07501-2815 | 2013-04-02 |
| 1578809497 | Health Source of Paterson PC | Clinic/Center | 922 Main St, Ste 204, Paterson, NJ 07503-2602 | 2012-12-20 |
| 1043519416 | Omar T Cockey Dmd Pa | Clinic/Center | 703 Main St, Paterson, NJ 07503-2621 | 2011-03-24 |
| 1891092755 | Audslp Diagnostic and Rehabilitation Clinic | Clinic/Center | 680 Broadway, Paterson, NJ 07514-1422 | 2011-02-11 |
| 1326364589 | Park Medico Center | Clinic/Center | 50 Park Ave, Paterson, NJ 07501-2207 | 2010-04-13 |
| 1699937409 | The Challenge Program of Nj | Clinic/Center | 5 Colt St, Suite 400, Paterson, NJ 07505-1419 | 2008-07-02 |
| 1245419365 | Bisan Medical Inc | Clinic/Center | 1029 Main St, 2nd Floor, Paterson, NJ 07503-2200 | 2007-10-25 |
| Find all providers in PATERSON | ||||
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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.