Active NPI
Colmexi Medical, LLC
- Clinic/Center
- Union City, NJ
National Provider Identifier
1972728327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 25MA07696900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Antonio Sabido, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121070 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Newark, NJ
- NPI 1720159916
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.