Active NPI
Allen N. Sapadin, M.D., PC
- Dermatology Physician
- Hackensack, NJ
National Provider Identifier
1245477348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ALLEN N. SAPADIN, M.D., PC
- Practice address
- 370 Summit Ave
Hackensack, NJ 07601-1413 - Phone
- (201) 525-0057
- Fax
- (201) 525-0149
- NPI assigned
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Nathan McLean, MD
- Title
- Owner
- Phone
- (201) 525-0057
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X |
Addresses
Primary practice location
370 Summit Ave
Hackensack, NJ 07601-1413
Mailing address
280 Arch Rd
Englewood, NJ 07631-4401
Phone (201) 816-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090127000227 | NJ | Part B Supplier - Clinic/Group Practice | 5092879601 |
Receives reassigned benefits from 4 practitioners Practice locations: Hackensack, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Ridgewood, NJ
- NPI 1578724571
Mohs-Micrographic Surgery, NJ
-
- Dermatopathology Physician
- Woodbury, NY
- NPI 1942202262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1245477348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 ARCH RD",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314401",
"telephone_number": "201-816-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011413",
"telephone_number": "201-525-0057",
"fax_number": "201-525-0149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN N. SAPADIN, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "NATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-525-0057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.