Individual provider Active NPI

Saad F Habba, MD

  • Gastroenterology Physician
  • Summit, NJ
National Provider Identifier
1649270976
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA44556 Issued in NJ
Practice address
12 Bank St
Suite 102
Summit, NJ 07901-3610
Phone
(908) 273-3434
Fax
(908) 273-3210
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA44556 NJ Primary

Addresses

Primary practice location

12 Bank St
Suite 102
Summit, NJ 07901-3610

Mailing address

12 Bank St
Suite 102
Summit, NJ 07901-3610
Phone (908) 273-3434

Other identifiers 1

IdentifierTypeStateIssuer
1841904MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000133 NJ Practitioner - Gastroenterology 4688715352 Receives reassigned benefits from 3 practitioners
Practice locations: Summit, NJ

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Bank St
Summit, NJ 07901-3661
Phone (908) 273-3434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100
Upper gastrointestinal (GI) endoscopy for acid reflux132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA44556NJMDGastroenterology Physician

Practitioners & affiliated clinicians

Practitioners 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1649270976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BANK ST",
            "address_2": "SUITE 102",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013610",
            "telephone_number": "908-273-3434",
            "fax_number": "908-273-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BANK ST",
            "address_2": "SUITE 102",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013610",
            "telephone_number": "908-273-3434",
            "fax_number": "908-273-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBA",
        "first_name": "SAAD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA44556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.