Active NPI
Clifton Medical Pain & Rehabilitation Center
- Neurology Physician
- Clifton, NJ
National Provider Identifier
1780014415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA04538400
- Legal business name
- CLIFTON MEDICAL PAIN & REHABILITATION CENTER
- Practice address
- 505 Lexington Ave
Clifton, NJ 07011-1935 - Phone
- (973) 928-2542
- Fax
- (973) 928-2544
- NPI assigned
- Nov 15, 2013
- 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
- Nabil M Yazgi, M.D.
- Title
- M.D.
- Phone
- (973) 928-2542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA04538400 | NJ | Primary |
Addresses
Primary practice location
505 Lexington Ave
Clifton, NJ 07011-1935
Mailing address
505 Lexington Ave
Clifton, NJ 07011-1935
Phone (973) 928-2542
National Provider Directory
National Provider DirectoryLocations
505 Lexington Ave
Clifton, NJ 07011
Phone (973) 928-2542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384473600000",
"number": "1780014415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111935",
"telephone_number": "973-928-2542",
"fax_number": "973-928-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111935",
"telephone_number": "973-928-2542",
"fax_number": "973-928-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON MEDICAL PAIN & REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A",
"authorized_official_last_name": "YAZGI",
"authorized_official_first_name": "NABIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "973-928-2542",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA04538400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.