Active NPI
Health Source of Paterson PC
- Clinic/Center
- Paterson, NJ
National Provider Identifier
1578809497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MC04564
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.