Imad Khodor Saedeldine, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07814800 Issued in NJ

Practice address

1029 Main St
Second Floor
Paterson, NJ 07503-2226

Phone

(973) 345-0444

Fax

(973) 345-0422

NPI assigned

Jun 1, 2006

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDBGBD
• Direct secure messaging: isaedeldine@1395.mdlanddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bisan Medical Inc

  • Clinic/Center
  • Paterson, NJ
  • NPI 1245419365
  Medicare reassignment Authorized official
• HMH Hospitals Corporation

  dba Hackensack University Medical Center

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  NPD (past)
• North Jersey Pulmonary Associates

  dba Design Medical Group

  • Pulmonary Disease Physician
  • Ridgewood, NJ
  • NPI 1124598438

  Internal Medicine

  NPD (past)
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  NPD (past)
• Apogee Medical Group of New Jersey PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1104873629
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1740227560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032226",
            "telephone_number": "973-345-0444",
            "fax_number": "973-345-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032226",
            "telephone_number": "973-345-0444",
            "fax_number": "973-345-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEDELDINE",
        "first_name": "IMAD",
        "middle_name": "KHODOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07814800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056430",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibraheem A Sabah, MD
• Otto Fiztgerald Sabando Jr., DO
• Richard M Sabbagh, DC
• Rayan Sabouh, MD
• Maciej Sadowski, M.D.
• Stephen Saela
• Albina Safinovna Safarova
• Safe & Seen Counseling LLC
• Safe Counsel LLC
• Safe Counsel LLC

• Internal Medicine Physician in Paterson, NJ
• Providers in Paterson, 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 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.