Organization Active NPI

Plaza Wellness & Health Center LLC

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1750160644
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PLAZA WELLNESS & HEALTH CENTER LLC
Practice address
6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone
(201) 509-8900
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Basel Batarseh, MDNPI 1891803318
Title
Owner
Phone
(201) 797-2003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113

Mailing address

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone (201) 797-2003

National Provider Directory

National Provider Directory

Locations

6-20 Plaza Rd
Fair Lawn, NJ 07410
Phone (201) 509-8900

Practitioners & affiliated clinicians

Practitioners 1

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": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1750160644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-509-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA WELLNESS & HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BATARSEH",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-797-2003",
        "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": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.