Excel Medical Group PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EXCEL MEDICAL GROUP PC

Practice address

7511 Bergenline Ave Ste 101
North Bergen, NJ 07047-5459

Phone

(201) 378-3608

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Husam Wadi

Title

Officer

Phone

(201) 378-3608

Specialties & licenses 3

Addresses

Tax ID family

Excel Medical Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Excel Medical Group PC

  • Urgent Care Clinic/Center
  • North Bergen, NJ
  • NPI 1033895321
  NPD tax ID
• Excel Medical Group PC

  • Primary Care Clinic/Center
  • North Bergen, NJ
  • NPI 1518643444
  NPD tax ID

Locations

Practitioners 1

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

• Samih Rajab Abbassi, MD

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1750380358
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1205512126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 BERGENLINE AVE STE 101",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475459",
            "telephone_number": "201-378-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 BERGENLINE AVE STE 101",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475459",
            "telephone_number": "201-378-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "WADI",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-378-3608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalila Yamile Espinal
• Mylen Estanislao
• Joshian Estevez
• Everest Medical Center of North Bergen LLC
• Excel Medical Group PC
• Excel Medical Group PC
• Eye Caring on Bergenline PC
• Alba Fabre
• Claudia Mariella Farfan Medina de Sangama
• Marcela Farfan, LPC

• Adult Mental Health Clinic/Center in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.