Organization Active NPI

Health Source of Paterson PC

  • Clinic/Center
  • Paterson, NJ
National Provider Identifier
1578809497
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MC04564 Issued in NJ
Legal business name
HEALTH SOURCE OF PATERSON PC
Practice address
922 Main St
Ste 204
Paterson, NJ 07503-2602
Phone
(973) 345-8200
Fax
(973) 345-9593
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Richard M Sabbagh, D.C.
Title
Owner
Phone
(973) 345-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MC04564 NJ Primary

Addresses

Primary practice location

922 Main St
Ste 204
Paterson, NJ 07503-2602

Mailing address

922 Main St
Ste 204
Paterson, NJ 07503-2602
Phone (973) 345-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1578809497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MAIN ST",
            "address_2": "STE 204",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032602",
            "telephone_number": "973-345-8200",
            "fax_number": "973-345-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MAIN ST",
            "address_2": "STE 204",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032602",
            "telephone_number": "973-345-8200",
            "fax_number": "973-345-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE OF PATERSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-345-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MC04564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.