Passaic Medical Care Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00587800 Issued in NJ

Legal business name

PASSAIC MEDICAL CARE INC

Practice address

1135 Main Ave
Suite 3
Clifton, NJ 07011-2353

Phone

(862) 238-8181

Fax

(862) 238-8183

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle Elizabeth Marcotulli, APNNPI 1407220114

Title

Nurse Practioner

Phone

(862) 238-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Passaic Medical Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Passaic Medical Care Inc

  • Primary Care Clinic/Center
  • Passaic, NJ
  • NPI 1225408313
  NPD tax ID

Locations

Practitioners 3

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

• Danielle Elizabeth Marcotulli, APN

  • Hematology & Oncology Physician
  • Hackensack, NJ
  • NPI 1407220114
  NPD (past) Authorized official
• Nael A Abutabikh, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1235120155
  NPD (past)
• Kaitlin M Bourdeau, PA

  • Physician Assistant
  • Bloomfield, NJ
  • NPI 1780236489
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1659749844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE",
            "address_2": "SUITE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "862-238-8181",
            "fax_number": "862-238-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE",
            "address_2": "SUITE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "862-238-8181",
            "fax_number": "862-238-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "MARCOTULLI",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "862-238-8181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00587800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "26NJ00587800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bolivar Pascual, M.D.
• Harsheen Kaur Pasricha, OT
• Passaic County Elks Adult Training Center
• Passaic County Elks Cerebral Palsy Center
• Passaic County Orthopaedic Associates LLC
• Passaic Vision Center (Clifton Eye Specialists)
• Pat David Biondi Ma-Ccca
• Anjali D Patel, D.O.
• Arun Patel, RPH
• Ashish Patel, PA-C

• Family Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.