Hemoser II, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA07696900 Issued in NJ

Legal business name

HEMOSER II, LLC

Practice address

147 Hamilton Avenue
Passaic, NJ 07055-5240

Phone

(973) 594-0808

Fax

(973) 594-0508

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Antonio Sabido, M.D.

Title

Owner

Phone

(973) 594-0808

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1841528254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 FRANKLIN LAKES ROAD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171131",
            "telephone_number": "973-594-0808",
            "fax_number": "973-594-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 HAMILTON AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555240",
            "telephone_number": "973-594-0808",
            "fax_number": "973-594-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMOSER II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SABIDO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-594-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217671",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.