Active NPI
Plaza Health and Wellness Center, LLC
- Internal Medicine Physician
- Fair Lawn, NJ
National Provider Identifier
1629648100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PLAZA HEALTH AND WELLNESS CENTER, LLC
- Practice address
- 6-20 Plaza Rd
Fair Lawn, NJ 07410-3113 - Phone
- (201) 797-2003
- NPI assigned
- Jun 28, 2021
- Last updated
- Jun 28, 2021
- 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
- Basel Batarseh, MD
- Title
- Owner
- Phone
- (201) 797-2003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Mailing address
6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone (201) 797-2003
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1891803318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1629648100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6-20 PLAZA RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103113",
"telephone_number": "201-797-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6-20 PLAZA RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103113",
"telephone_number": "201-797-2003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA HEALTH AND WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "BATARSEH",
"authorized_official_first_name": "BASEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-797-2003",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.