Medical Clinic in Passaic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL CLINIC IN PASSAIC INC

Practice address

362 Monroe St
Passaic, NJ 07055-4114

Phone

(973) 777-3222

Fax

(973) 777-3225

NPI assigned

Mar 9, 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, MD

Title

Owner

Phone

(201) 757-6937

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1487249603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554114",
            "telephone_number": "973-777-3222",
            "fax_number": "973-777-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC IN PASSAIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ABUTABIKH",
        "authorized_official_first_name": "NAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-757-6937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-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": []
}

• Patrice Rose Mazza, BCBA
• Michelle E McKay
• Jennifer Nicole McLean
• Meadow Pharmacy and Wellness LLC
• Medical & Surgical Family Practice of Passaic P a
• Medical Laboratory & Pathology Consultants LLC
• Harshini Medikondu
• Medisave Pharmacy Corp
• Ilana Mehl
• Mehri Songhorian MD Medical PC

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, 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 9, 2021; 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.