Bassam M Haddad, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BASSAM M HADDAD, MD, PA

Practice address

26 Greenville Ave
Jersey City, NJ 07305-2608

Phone

(201) 333-8222

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Bassam M Haddad, M.D

Title

President

Phone

(201) 333-8222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14360/brand/9/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vasudevarao Jonnalagadda, MD

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1669470308
  NPD (past)
• Sarwat S Takla, MD

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1316907983
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1821205063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM M HADDAD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-333-8222",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Barzola
• Surraine Bascome, LCSW
• Wahid W Baskaly
• Steven Eric Baskin, D.D.S.
• Nancy A Bassaly, R.PH.
• Marina Bastawross, DO
• Maria Antoniette A Batin
• Shefali Batra
• Kristyn Batta, DPT
• Elizabeth M Battiston, MA, LPC, LCADC, NCC

• Specialist in Jersey City, NJ
• Providers in Jersey City, 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 19, 2016; 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.