Passaic Medical Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA07945900 Issued in NJ

Legal business name

PASSAIC MEDICAL CARE INC

Practice address

362 Monroe St
Passaic, NJ 07055-4114

Phone

(973) 777-3222

Fax

(973) 777-3225

NPI assigned

Oct 1, 2015

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nael A Abutabikh, MDNPI 1235120155

Title

Physician

Phone

(973) 777-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Passaic Medical Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Passaic Medical Care Inc

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1659749844
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nael A Abutabikh, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1235120155
  NPD (past) Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1225408313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "ABUTABIKH",
        "authorized_official_first_name": "NAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-777-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07945900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079049",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passaic Eyecare, PC
• Passaic Family Chiropractic, PC
• Passaic Family Dental L.L.C.
• Passaic Imaging Associates LLC (Passaic Imaging Associates)
• Passaic Medical Care Inc
• Passaic Medical Clinic Inc
• Passaic Medical Walk-in and Wellness Center LLC (Passaic Medical & Wellness)
• Passaic Pediatrics II PA
• Passaic Pediatrics II PA
• Passaic Pediatrics PA

• Primary Care Clinic/Center in Passaic, NJ
• Providers in Passaic, 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 Oct 1, 2015; 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.