MD Care Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MD CARE CLINIC LLC

Practice address

1300 Main Ave Ste 2C
Clifton, NJ 07011-2266

Phone

(973) 417-0181

Fax

(609) 388-6333

NPI assigned

Jan 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Kassem, MDNPI 1528027356

Title

President

Phone

(850) 872-0332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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

• Mohamed Kassem, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1528027356
  Medicare reassignment Authorized official
• Emad A Eisa, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1366725749
  Medicare reassignment NPD
• Jessica Dominguez, PA-C

  • Physician Assistant
  • Clifton, NJ
  • NPI 1518749092
  Medicare reassignment
• Miguel Angel Garcia, APN

  • Adult Health Nurse Practitioner
  • Suffern, NY
  • NPI 1033689526

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1659911287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 OVERLOOK RDG",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE STE 2C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-417-0181",
            "fax_number": "609-388-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-872-0332",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Douglas Dean McGuire, DMD
• Tecoya McKelvey
• Nicole McLaughlin, MA/EDS
• Patricia McNerney, MA, OTR
• Shane Robert McParand, OTR/L
• Med Screen Laboratories Inc
• Medallion Behavioral Health LLC
• Medical Circulations, LLC
• Medical Imaging Center of North Jersey Inc
• Medical Specialties of New Jersey PA

• Internal Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.