Organization Active NPI

Elliott Samet MD, PC

  • Pediatrics Physician
  • Passaic, NJ
National Provider Identifier
1982820809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA07236300 Issued in NJ
Legal business name
ELLIOTT SAMET MD, PC
Practice address
160 Pennington Ave
Passaic, NJ 07055-4716
Phone
(973) 591-1600
Fax
(973) 591-1605
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elliott Samet, M.D.
Title
President
Phone
(973) 591-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA07236300 NJ Primary

Addresses

Primary practice location

160 Pennington Ave
Passaic, NJ 07055-4716

Mailing address

160 Pennington Ave
Passaic, NJ 07055-4716
Phone (973) 591-1600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982820809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PENNINGTON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554716",
            "telephone_number": "973-591-1600",
            "fax_number": "973-591-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PENNINGTON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554716",
            "telephone_number": "973-591-1600",
            "fax_number": "973-591-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT SAMET MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMET",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-591-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA07236300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.