Clifton Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLIFTON MEDICAL CLINIC INC

Practice address

1135 Main Ave # 3
Clifton, NJ 07011-2353

Phone

(862) 238-8181

Fax

(973) 777-3225

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Nael Abutabikh, MDNPI 1235120155

Title

Owner

Phone

(862) 238-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 7

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

• Nael A Abutabikh, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1235120155
  Medicare reassignment Care Compare group NPD Authorized official
• Shaza Khatib

  • Family Nurse Practitioner
  • Hackensack, NJ
  • NPI 1639945942
  Medicare reassignment Care Compare group NPD
• Liudmila Tizhgarten, FNP

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1669177416
  Medicare reassignment Care Compare group NPD
• Ndidiamaka Ezuma, APN

  • Family Nurse Practitioner
  • Newark, NJ
  • NPI 1881287829

  Single Specialty

  Medicare reassignment NPD
• Anara Hamded

  • Gerontology Nurse Practitioner
  • Pompton Plains, NJ
  • NPI 1740923234

  Single Specialty

  Medicare reassignment NPD
• Evangelina M. Roque, NP-C

  • Adult Health Nurse Practitioner
  • Fair Lawn, NJ
  • NPI 1922514330
  Medicare reassignment NPD
• Kaitlin M Bourdeau, PA

  • Physician Assistant
  • Bloomfield, NJ
  • NPI 1780236489
  Medicare reassignment

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1356936611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE # 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "862-238-8181",
            "fax_number": "973-777-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE # 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "862-238-8181",
            "fax_number": "973-777-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "ABUTABIKH",
        "authorized_official_first_name": "NAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-238-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA07945900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifton Family Dental Associates, LLC
• Clifton Family Medical Center
• Clifton Foot Center
• Clifton Maternal Fetal Medicine, P.C.
• Clifton Medical Center, Inc
• Clifton Medical Imaging PA
• Clifton Medical Pain & Rehabilitation Center
• Clifton Medicine
• Clifton MRI LLC
• Clifton OBGYN, LLC

• Internal Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.

Verify at the official NPI Registry.