Paterson Community Clinic P.a.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00032051 Issued in NJ

Legal business name

PATERSON COMMUNITY CLINIC P.A.

Practice address

37 Crooks Ave
Paterson, NJ 07503-1401

Phone

(862) 257-1761

Fax

(973) 685-9920

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mahmoud Bader Aqel, MDNPI 1821067786

Title

President

Phone

(973) 670-9102

Specialties & licenses 1

Addresses

Other names 1

• Reliable Laboratory Doing business as

Practitioners 1

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

• Mahmoud Bader Aqel, MD

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1821067786
  NPD Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1447653118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CROOKS AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031401",
            "telephone_number": "862-257-1761",
            "fax_number": "973-685-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CROOKS AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031401",
            "telephone_number": "862-257-1761",
            "fax_number": "973-685-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON COMMUNITY CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "AQEL",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "BADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-670-9102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00032051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paterson Charter School for Science and Technology
• Paterson Chiro-Rehab
• Paterson Chiropractic and Physical Therapy
• Paterson Chiropractic Care LLC
• Paterson Coby Acupuncture Care, P.C.
• Paterson Community Clinic, PA
• Paterson Community Health Center, Inc.
• Paterson Community Health Center, Inc.
• Paterson Community Health Center, Inc.
• Paterson Counseling Center

• Clinical Medical Laboratory in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.