Active NPI
Dr.Nail S Abdel Fatah MD PC
- Pulmonary Disease Physician
- East Orange, NJ
National Provider Identifier
1710169693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- DR.NAIL S ABDEL FATAH MD PC
- Practice address
- 276 Prospect St # 2
East Orange, NJ 07017-2889 - Phone
- (973) 844-3720
- NPI assigned
- Dec 3, 2007
- 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
- Nail S Abdel Fatah, M.D.
- Title
- Owner
- Phone
- (973) 844-3720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
276 Prospect St # 2
East Orange, NJ 07017-2889
Mailing address
PO Box 524
Belleville, NJ 07109-0524
Phone (973) 844-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6390706 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Old Bridge, NJ
- NPI 1215126693
-
- Pulmonary Disease Physician
- Montclair, NJ
- NPI 1912959685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1710169693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 524",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071090524",
"telephone_number": "973-844-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 PROSPECT ST # 2",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172889",
"telephone_number": "973-844-3720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.NAIL S ABDEL FATAH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "ABDEL FATAH",
"authorized_official_first_name": "NAIL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-844-3720",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6390706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.