Abbassi and Agrama P C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA032490 Issued in NJ

Legal business name

ABBASSI AND AGRAMA P C

Practice address

81 Northfield Ave
Suite 102
West Orange, NJ 07052-5342

Phone

(973) 669-0010

Fax

(973) 736-8355

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samih R Abbassi, MD

Title

President

Phone

(973) 669-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Shereelah Deen, M.D.

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1649287756
  NPD (past)
• Iftekhar Kadri, M.D.

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1093711947

  Internal Medicine

  NPD (past)
• Samina Khan, M.D.

  • Internal Medicine Physician
  • Pompton Lakes, NJ
  • NPI 1992764906
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1225201684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 102",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-669-0010",
            "fax_number": "973-736-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 102",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-669-0010",
            "fax_number": "973-736-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBASSI AND AGRAMA P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "SAMIH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-669-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA032490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1 Prospect Physical Therapy, LLC
• 20 Summit Street Operations LLC
• 828 Express LLC
• Jason Ailbruz Abaza, DC
• Abbas a. Shehadeh MD, PA
• Samih Rajab Abbassi, MD
• Marc Abbate, MD
• Cynthia Abbott
• Somaya Abboud, MD
• Bilal Mohammad Abdallah, PHARMD

• Primary Care Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.