Active NPI
Nabila Hai
- Diagnostic Radiology Physician
- Montclair, NJ
National Provider Identifier
1902120066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09875300
- Practice address
- 37 N Fullerton Ave
Montclair, NJ 07042-3426 - Phone
- (973) 509-1818
- NPI assigned
- Mar 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 25MA09875300 | NJ | Primary |
Addresses
Primary practice location
37 N Fullerton Ave
Montclair, NJ 07042-3426
Mailing address
20 Applewood Dr
Upper Saddle River, NJ 07458-1002
Phone (732) 642-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37 N Fullerton Ave
2ND Floor
Montclair, NJ 07042-3446
Phone (973) 509-1818
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Breast Center PC | Multi-Specialty | Current | Accepting new patients |
Locations
37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1902120066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 APPLEWOOD DR",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581002",
"telephone_number": "732-642-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423426",
"telephone_number": "973-509-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAI",
"first_name": "NABILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-18",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09875300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.