Organization Active NPI

Trudoc LLC

  • Pulmonary Disease Physician
  • Clifton, NJ
National Provider Identifier
1619565942
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TRUDOC LLC
Doing business as
TruDoc Medical
Practice address
1187 Main Ave Ste 1F
Clifton, NJ 07011-2252
Phone
(973) 928-2300
Fax
(973) 928-2304
NPI assigned
Jan 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Dr. Bassel Noumi, MDNPI 1932497856
Title
Owner/Manager
Phone
(347) 652-5576

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1187 Main Ave Ste 1F
Clifton, NJ 07011-2252

Mailing address

17 Carton Rd
Morristown, NJ 07960-6350
Phone (973) 928-2300

Other identifiers 1

IdentifierTypeStateIssuer
0825425MedicaidNJ

Other names 1

  • TruDoc Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303001726 NJ Part B Supplier - Clinic/Group Practice 3678989449 Receives reassigned benefits from 8 practitioners
Practice locations: Clifton, NJ; Denville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2216573Trudoc Medical1187 Main Ave Suite If, Clifton, NJ 07011Certificate of waiverMar 14, 2027

National Provider Directory

National Provider Directory

Locations

94 Diamond Spring Rd
Ste 2
Denville, NJ 07834
Phone (973) 625-1212

94 Diamond Spring Rd
Denville, NJ 07834
Phone (973) 586-1011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGCD

Practitioners & affiliated clinicians

Practitioners 8

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": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1619565942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARTON RD",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606350",
            "telephone_number": "973-928-2300",
            "fax_number": "973-928-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE STE 1F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-928-2300",
            "fax_number": "973-928-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "NOUMI",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "347-652-5576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0825425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruDoc Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.