Bais Refuah Health Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAIS REFUAH HEALTH CENTER LLC

Practice address

77 Boulevard
Passaic, NJ 07055-4705

Phone

(917) 603-8862

NPI assigned

May 6, 2010

Last updated

May 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Jacknin

Title

Owner

Phone

(917) 603-8862

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Jacknin

  • Speech-Language Pathologist
  • Passaic, NJ
  • NPI 1306351341
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1184942898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554705",
            "telephone_number": "917-603-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIS REFUAH HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "JACKNIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-603-8862"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarnath Avancha, MD
• Puneet Babbar, MD
• Mounir Bachiri, APRN
• Back & Spine Center of Passaic, LLC
• Corina Elizabeth Baez Sanchez, BS,BCBC
• Lamyaa Bakr, MD
• Milagros M Balboa-Hart
• Yael Baldinger
• Rachel Barbati, LCSW, LCADC
• Amy Hope Barnett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.