Sebastian Medical Associates Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08164800 Issued in NJ

Legal business name

SEBASTIAN MEDICAL ASSOCIATES CORPORATION

Practice address

476 Colfax Ave
Clifton, NJ 07013-1624

Phone

(973) 594-7977

Fax

(973) 594-9983

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Annamaria Conklin

Title

Credentialing Coordinator

Phone

(973) 458-0422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1730200841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070151719",
            "telephone_number": "973-458-0422",
            "fax_number": "973-458-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 COLFAX AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131624",
            "telephone_number": "973-594-7977",
            "fax_number": "973-594-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN MEDICAL ASSOCIATES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "ANNAMARIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "973-458-0422"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08164800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George C Scordilis, DC
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• Alejandra Seda, RDN
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• Richard Seides, NP-C
• Imranjot Singh Sekhon, MD

• Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.