Lina Al-Dahhan MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LINA AL-DAHHAN MD PC

Doing business as

PEDIATRICS & ADOLESCENT CLINIC

Practice address

Pediatrics & Adolescent Clinic
210 Hamburg TPK
Wayne, NJ 07470

Phone

(973) 942-9191

Fax

(973) 942-7111

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Lina N. Al-Dahhan, MD

Title

Owner

Phone

(973) 942-9191

Specialties & licenses 1

Addresses

Other names 1

• PEDIATRICS & ADOLESCENT CLINIC Doing business as

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265535603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LINA AL-DAHHAN MD",
            "address_2": "PO BOX 3325",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074743325",
            "telephone_number": "973-942-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRICS & ADOLESCENT CLINIC",
            "address_2": "210 HAMBURG TPK",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-942-9191",
            "fax_number": "973-942-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA AL-DAHHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AL-DAHHAN",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-942-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRICS & ADOLESCENT CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.