Jadan H Abbassi, MD

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA04585100 Issued in NJ

Practice address

1618 Main Ave
Clifton, NJ 07011-2112

Phone

(973) 253-3400

Fax

(973) 253-3818

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PH Anesthesia Associates PC

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1134101363
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1194807255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112112",
            "telephone_number": "973-253-3400",
            "fax_number": "973-253-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112112",
            "telephone_number": "973-253-3400",
            "fax_number": "973-253-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASSI",
        "first_name": "JADAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA04585100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8607605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "264583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Abadir, DPT
• Katherine Abarca
• Laila F Abbas, OD (OPTOMETRIST)
• Abbasi Medical Group LLC
• Tareef Abbasi, MD
• Noor Abdalla, DDS
• Abdalla H Abdelaziz, BVSC
• Assunta Antonia Abdelaziz
• Aseel K Abdelqader
• Dina Abdelslame, PA-C, DMS

• Pain Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.