Organization Active NPI

Carepoint Gastroenterology Center PC

  • Specialist
  • Clifton, NJ
National Provider Identifier
1487864021
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07031400 Issued in NJ
Legal business name
CAREPOINT GASTROENTEROLOGY CENTER PC
Practice address
1300 Main Ave
Suite 1B
Clifton, NJ 07011-2266
Phone
(973) 689-6700
Fax
(973) 689-6582
NPI assigned
May 23, 2007
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Bassam Hajjar, M.DNPI 1316024946
Title
Physician
Phone
(973) 595-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07031400 NJ Primary

Addresses

Primary practice location

1300 Main Ave
Suite 1B
Clifton, NJ 07011-2266

Mailing address

PO Box 7996
Haledon, NJ 07538-7996
Phone (973) 595-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140711000160 NJ Part B Supplier - Clinic/Group Practice 8022233808 Receives reassigned benefits from 5 practitioners
Practice locations: Clifton, NJ; Wayne, NJ

National Provider Directory

National Provider Directory

Locations

1300 Main Ave
Ste 1B
Clifton, NJ 07011
Phone (973) 689-6700

504 Hamburg Tpke
Ste 105B
Wayne, NJ 07470
Phone (973) 595-6444

510 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 689-6700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1487864021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7996",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075387996",
            "telephone_number": "973-595-6444",
            "fax_number": "973-782-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 1B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-689-6700",
            "fax_number": "973-689-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPOINT GASTROENTEROLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-595-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07031400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.