NPIMap

Organization Active NPI

Excel Medical Group PC

  • Primary Care Clinic/Center
  • North Bergen, NJ
National Provider Identifier
1518643444
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EXCEL MEDICAL GROUP PC
Practice address
7511 Bergenline Ave Ste 101
North Bergen, NJ 07047-5459
Phone
(201) 378-3608
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Husam Wadi
Title
Officer
Phone
(201) 378-3608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7511 Bergenline Ave Ste 101
North Bergen, NJ 07047-5459

Mailing address

7511 Bergenline Ave Ste 101
North Bergen, NJ 07047-5459
Phone (201) 378-3608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000658 NJ Part B Supplier - Clinic/Group Practice 0446695688 Receives reassigned benefits from 4 practitioners
Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory
Tax ID family
Excel Medical Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7511 Bergenline Ave
Ste 100
North Bergen, NJ 07047

7511 Bergenline Ave
Ste 101
North Bergen, NJ 07047
Phone (201) 378-3608

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1518643444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 BERGENLINE AVE STE 101",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475459",
            "telephone_number": "201-378-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 BERGENLINE AVE STE 101",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475459",
            "telephone_number": "201-378-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "WADI",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-378-3608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.