Saleh I Khaddash MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MA05889500 Issued in NJ

Legal business name

SALEH I KHADDASH MD PA

Practice address

40 Union Ave
Clifton, NJ 07011-2219

Phone

(973) 546-3355

Fax

(973) 546-8501

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Saleh I Khaddash, MD

Title

Owner

Phone

(973) 546-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Luz D Rodriguez Pena, FNP

  • Family Nurse Practitioner
  • Union, NJ
  • NPI 1336965482
  NPD

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1447409701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-546-3355",
            "fax_number": "973-546-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-546-3355",
            "fax_number": "973-546-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEH I KHADDASH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "KHADDASH",
        "authorized_official_first_name": "SALEH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-546-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA05889500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6068308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Grace Sakdalan, OTR/L
• Jitendra Dhirajlal Sakhiya
• Samina Salahuddin
• Salam Clinical LLC
• Omar Salas, MA LCADC LAC CTTS
• Carlo Gerard Salgado-Russo, LCSW
• Emine Salif, NP-C
• Raja Salloum
• Salman Okour MD PC
• Tarek Salman, TRX

• Endocrinology, Diabetes & Metabolism Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.