Abbasi Medical Group LLC
Organization Active NPI Internal Medicine Physician · Clifton, NJ
NPI 1194151019 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1194151019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA05862000 (NJ)
- Legal business name
- ABBASI MEDICAL GROUP LLC
- Practice address
- 1300 Main Ave Apt 2D
Clifton, NJ 07011-2266 - Phone
- (973) 851-7818
- Fax
- (201) 595-0290
- NPI assigned
- Sep 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Tareef Abbasi, MD
- Title
- Doctor/Owner
- Phone
- (201) 766-1541
Practitioners 1
-
Tareef Abbasi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131105000324 | NJ | Part B Supplier - Clinic/Group Practice | 4789819426 |
Receives reassigned benefits from 1 practitioner Practice locations: Clifton, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 25MA05862000 | NJ | Yes |
Addresses
Primary practice location
1300 Main Ave Apt 2D
Clifton, NJ 07011-2266
Mailing address
57 Bensam PL
North Haledon, NJ 07508-3068
Phone (201) 766-1541
Other providers in Clifton, NJ
- Aanikash Group
- ABA Parent Training Refuge LLC
- Joseph M Abadir
- Katherine Abarca
- Laila F Abbas
- Tareef Abbasi
- Jadan H Abbassi
- Noor Abdalla
- Abdalla H Abdelaziz
- Assunta Antonia Abdelaziz
All providers in Clifton, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.