Organization Active NPI

Clifton Medical Pain & Rehabilitation Center

  • Neurology Physician
  • Clifton, NJ
National Provider Identifier
1780014415
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA04538400 Issued in NJ
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

Updated by the provider on Nov 15, 2013

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.