Organization Active NPI

Najjar Infectious Disease PC

  • Infectious Disease Physician
  • Flint, MI
National Provider Identifier
1528105772
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301087544 Issued in MI
Legal business name
NAJJAR INFECTIOUS DISEASE PC
Practice address
5084 Villa Linde Pkwy
Suite 5
Flint, MI 48532-3422
Phone
(810) 732-3812
Fax
(810) 733-8135
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Mazen Najjar, MDNPI 1245342393
Title
Owner President
Phone
(810) 732-3812

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 4301087544 MI Primary

Addresses

Primary practice location

5084 Villa Linde Pkwy
Suite 5
Flint, MI 48532-3422

Mailing address

PO Box 78000
Department Number 78038
Detroit, MI 48278-0001
Phone (810) 230-0338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000137 MI Part B Supplier - Clinic/Group Practice 1759484769 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

5084 Villa Linde Pkwy
Ste 5
Flint, MI 48532
Phone (810) 733-6050

2342 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333

401 S Ballenger Hwy
Fl 5
Flint, MI 48532
Phone (810) 342-4545

420 S Ballenger Hwy
Flint, MI 48532
Phone (313) 238-8403

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1528105772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78000",
            "address_2": "DEPARTMENT NUMBER 78038",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780001",
            "telephone_number": "810-230-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 VILLA LINDE PKWY",
            "address_2": "SUITE 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323422",
            "telephone_number": "810-732-3812",
            "fax_number": "810-733-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAJJAR INFECTIOUS DISEASE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "NAJJAR",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "810-732-3812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301087544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.