Main Med Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAIN MED HEALTH

Practice address

100 Main St
Paterson, NJ 07505-1024

Phone

(551) 455-9001

NPI assigned

Nov 11, 2022

Last updated

Nov 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Maria Taclob, MDNPI 1619131398

Title

Owner of Entity

Phone

(551) 455-9001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Maria Taclob, MD

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1619131398
  Authorized official Same address or phone

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1912615501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051024",
            "telephone_number": "551-455-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051024",
            "telephone_number": "551-455-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN MED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "TACLOB",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "551-455-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shevani Mahindra
• Anas M Mahmoud, MD
• Maimon Care PC
• Main Chiro-Care Center PC
• Main Foot and Ankle Clinic LLC
• Main Spine and Rehab LLC
• Main St. Optical LLC
• Main Street RX (Main St. Pharmacy)
• Maincare Infusion LLC
• Camillia Malhis

• Internal Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.