Organization Active NPI

Dr.Nail S Abdel Fatah MD PC

  • Pulmonary Disease Physician
  • East Orange, NJ
National Provider Identifier
1710169693
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
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

Updated by the provider on Mar 18, 2008

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6390706MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.