Passaic Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PASSAIC MEDICAL CLINIC INC

Practice address

362 Monroe St
Passaic, NJ 07055-4114

Phone

(973) 777-3222

Fax

(973) 777-3225

NPI assigned

Mar 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nael Abutabikh, MDNPI 1235120155

Title

Owner

Phone

(973) 777-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nael A Abutabikh, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1235120155
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1073108346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "ABUTABIKH",
        "authorized_official_first_name": "NAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-777-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA07945900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passaic Family Chiropractic, PC
• Passaic Family Dental L.L.C.
• Passaic Imaging Associates LLC
• Passaic Medical Care Inc
• Passaic Medical Care Inc
• Passaic Medical Walk-in and Wellness Center LLC
• Passaic Pediatrics II PA
• Passaic Pediatrics II PA
• Passaic Pediatrics PA
• Passaic Pediatrics PA

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.