Maincare Infusion LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAINCARE INFUSION LLC

Practice address

900 Main St # 303
Paterson, NJ 07503-2619

Phone

(973) 307-9000

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Samir Tammous, RPH

Title

Owner

Phone

(973) 307-9000

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1194485664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST # 303",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST # 303",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032619",
            "telephone_number": "973-307-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINCARE INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "TAMMOUS",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-307-9000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KoLims",
            "affiliation": "N",
            "endpointDescription": "EHR Program",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical Records",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Main St # 303",
            "city": "Paterson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075032619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.