Active NPI
Passaic Primary Care Physicians LLC
- Family Medicine Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA069365
- Legal business name
- PASSAIC PRIMARY CARE PHYSICIANS LLC
- Practice address
- 140 Passaic Ave
Passaic, NJ 07055-4797 - Phone
- (973) 777-8900
- Fax
- (973) 777-8929
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ishak Soliman, MD
- Title
- Owner/MD
- Phone
- (973) 714-2730
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA069365 | NJ | Primary |
Addresses
Primary practice location
140 Passaic Ave
Passaic, NJ 07055-4797
Mailing address
140 Passaic Ave
Passaic, NJ 07055-4797
Phone (973) 777-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2078768 | Passaic Primary Care Physicians, LLC | Certificate of waiver | Jun 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
155 Hazel St
Clifton, NJ 07011
Phone (973) 722-3700
348 Union Ave
Rutherford, NJ 07070
Phone (201) 804-8329
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Passaic, NJ
- NPI 1578505509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184716800000",
"number": "1497955561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PASSAIC AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554797",
"telephone_number": "973-777-8900",
"fax_number": "973-777-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PASSAIC AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554797",
"telephone_number": "973-777-8900",
"fax_number": "973-777-8929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSAIC PRIMARY CARE PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A",
"authorized_official_last_name": "SOLIMAN",
"authorized_official_first_name": "ISHAK",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "973-714-2730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA069365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.