Organization Active NPI

Colmexi Medical, LLC

  • Clinic/Center
  • Union City, NJ
National Provider Identifier
1972728327
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA07696900 Issued in NJ
Legal business name
COLMEXI MEDICAL, LLC
Practice address
805 11TH Street
Union City, NJ 07087-6203
Phone
(201) 866-8533
Fax
(201) 866-6994
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Benjamin Antonio Sabido, M.DNPI 1720159916
Title
Doctor
Phone
(201) 866-8533

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA07696900 NJ
Clinic/Center 261Q00000X 25MA07696900 NJ Primary

Addresses

Primary practice location

805 11TH Street
Union City, NJ 07087-6203

Mailing address

1085 Franklin Lakes Road
Franklin Lakes, NJ 07417-1131
Phone (201) 866-8533

Other identifiers 1

IdentifierTypeStateIssuer
0121070MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1972728327",
    "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": "201-866-8533",
            "fax_number": "201-866-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 11TH STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876203",
            "telephone_number": "201-866-8533",
            "fax_number": "201-866-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLMEXI MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "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": "DOCTOR",
        "authorized_official_telephone_number": "201-866-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121070",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • 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.