J & I Pediatric Care Center

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

J & I PEDIATRIC CARE CENTER

Doing business as

Pediatric Care Center

Practice address

9720 Dix
Dearborn, MI 48120-1566

Phone

(313) 841-1680

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Manal N Haddad

Title

Office Manager

Phone

(313) 841-1680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Tania Haddad Abiaad, D.O.

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1356790778
  NPD (past)
• Issa T. Haddad, MD

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1124091376
  NPD (past)
• Jiries T Haddad, MD

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1447224043
  NPD (past)
• Nazir Hakmeh, MD

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1285670695
  NPD (past)
• Nidhal M Hermiz, MD

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1275660961
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1932229382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201566",
            "telephone_number": "313-841-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201566",
            "telephone_number": "313-841-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & I PEDIATRIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "MANAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-841-1680",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "350H211870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoda Issa, MSW
• Rim Issa
• Doryce Iverson
• Alexa K Iwan
• Julie M Izzard, CNM
• J McClain Home Care Agency LLC
• Aya Jaafar
• Ayah Jaafar, PA-C
• Fatime Jaafar, NP
• Jenna Maher Jaafar

• Pediatric Adolescent Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.