M M Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07839900 Issued in NJ

Legal business name

M M MEDICAL ASSOCIATES LLC

Practice address

29 Mountain Ave
Hawthorne, NJ 07506-3309

Phone

(973) 458-0114

Fax

(973) 458-0661

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Mourad Ismail, MD

Title

Owner

Phone

(973) 458-0114

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mai Said Saber, D.O., M.PH

  • Emergency Medicine Physician
  • Hawthorne, NJ
  • NPI 1538341961
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1427257583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1217",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070120717",
            "telephone_number": "973-458-0114",
            "fax_number": "973-458-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MOUNTAIN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063309",
            "telephone_number": "973-458-0114",
            "fax_number": "973-458-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M M MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MOURAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-458-0114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07839900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hawthorne, NJ
• Providers in Hawthorne, 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 21, 2008; 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.