Organization Active NPI

Mdslim, LLC

Doing business as Institute for Weight Management

  • Health Service Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1932141256
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MDSLIM, LLC
Doing business as
Institute for Weight Management
Practice address
150 Overlook Avenue
Hackensack, NJ 07601-2206
Phone
(201) 487-8010
Fax
(201) 487-7010
NPI assigned
Jun 12, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Anjana Chhabra, MDNPI 1780624718
Title
Medical Director
Phone
(201) 487-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

150 Overlook Avenue
Hackensack, NJ 07601-2206

Mailing address

150 Overlook Avenue
Hackensack, NJ 07601-2206
Phone (201) 487-8010

Other identifiers 1

IdentifierTypeStateIssuer
101580OtherNJMEDICARE PROVIDER NUMBER

Other names 1

  • Institute for Weight Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000124 NJ Part B Supplier - Clinic/Group Practice 8426079450 Receives reassigned benefits from 2 practitioners
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1932141256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OVERLOOK AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012206",
            "telephone_number": "201-487-8010",
            "fax_number": "201-487-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OVERLOOK AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012206",
            "telephone_number": "201-487-8010",
            "fax_number": "201-487-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSLIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CHHABRA",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-487-8010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "101580",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Weight Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.