Organization Active NPI

Mustafa Sidali DO PC

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1376785626
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MUSTAFA SIDALI DO PC
Practice address
380 Union Ave
Belleville, NJ 07109-2122
Phone
(973) 759-4411
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Mustafa M Sidali, DO
Title
Owner
Phone
(973) 759-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

380 Union Ave
Belleville, NJ 07109-2122

Mailing address

380 Union Ave
Belleville, NJ 07109-2122
Phone (973) 759-4411

National Provider Directory

National Provider Directory

Locations

380 Union Ave
Belleville, NJ 07109
Phone (973) 484-2800

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1376785626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 UNION AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092122",
            "telephone_number": "973-759-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 UNION AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092122",
            "telephone_number": "973-759-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFA SIDALI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SIDALI",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-759-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.