Essam Ellabbad MD PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1218244 Issued in NJ

Legal business name

ESSAM ELLABBAD MD PA

Practice address

14 Dorset CT
Princeton, NJ 08540-7053

Phone

(609) 419-1027

Fax

(609) 895-8830

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Essam-Eldin M. Ellabbad, M.D.NPI 1679510143

Title

President

Phone

(609) 844-0900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Essam-Eldin M Ellabbad, MD

  • Psychiatry Physician
  • Lawrenceville, NJ
  • NPI 1679510143
  NPD (past) Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629082904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BUIDLING 4, SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-884-0900",
            "fax_number": "609-895-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DORSET CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407053",
            "telephone_number": "609-419-1027",
            "fax_number": "609-895-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSAM ELLABBAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLABBAD",
        "authorized_official_first_name": "ESSAM-ELDIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-844-0900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "1218244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Errickson, LCSW, LCADC
• Leonard Scott Ershow, D.C., C.C.S.P.
• Jennifer Grantham Erskine, MD
• Frances Ertel, P.T.
• Lucille Esralew, CP
• Essential Diagnostics, P.a.
• Eugenie Brunner, M.D.
• Jodi Anne Evanego, LCSW
• Jasmine Evans, DPT
• Everbright Dental (Elite Dental care)

• Adult Mental Health Clinic/Center in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.