Organization Active NPI

Marwan Assaleh, MD, PC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1619017589
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05278500 Issued in NJ
Legal business name
MARWAN ASSALEH, MD, PC
Practice address
591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714
Phone
(201) 653-9115
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Marwan Assaleh, MDNPI 1518066000
Title
Owner
Phone
(201) 653-9115

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA05278500 NJ Primary

Addresses

Primary practice location

591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714

Mailing address

591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714
Phone (201) 653-9115

National Provider Directory

National Provider Directory

Locations

591 Summit Ave
Ste 205
Jersey City, NJ 07306
Phone (201) 216-9791

Practitioners & affiliated clinicians

Practitioners 1

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1619017589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 205",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-653-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 205",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-653-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN ASSALEH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "ASSALEH",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-653-9115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05278500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.