SALEH I KHADDASH MD PA (NPI# 1447409701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447409701 |
| Entity Type | Organization |
| Organization Name | SALEH I KHADDASH MD PA |
| Practice Address |
40 Union Ave Clifton NJ 07011-2219 |
| Practice Telephone | 9735463355 |
| Practice Fax Number | 9735468501 |
| Mailing Telephone | 9735463355 |
| Mailing Fax Number | 9735468501 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. SALEH I KHADDASH (OWNER) |
| Authorized Official Telephone | 9735463355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MA05889500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6068308 | 05 |
| Street Address |
40 UNION AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07011-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720034184 | Julio H Urena Md Pa | Internal Medicine | 40 Union Ave, Clifton, NJ 07011-2219 | 2006-05-26 |
| 1356302186 | Julio H Urena | Internal Medicine | 40 Union Ave, Clifton, NJ 07011-2219 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
| 1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
| 1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
| 1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
| 1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
| 1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
| Find all providers in zip 07011 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1730441676 | Lena Hourwitz Shalem | Internal Medicine | 6 Brighton Rd, Clifton, NJ 07012-1647 | 2012-06-15 |
| 1457306557 | Catherine Torres | Internal Medicine | 6 Brighton Rd, Clifton, NJ 07012-1647 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373645 | Freehold Rheumatology and Endocrinology LLC | Internal Medicine | 535 Iron Bridge Rd Ste 11, Freehold, NJ 07728-5301 | 2019-12-17 |
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| 1952871667 | Garger Center for Endocrinology PC | Internal Medicine | 10 Sycamore Ave Ste 1, Ho Ho Kus, NJ 07423-1588 | 2018-11-26 |
| 1962902189 | Mercer Endocrine Care LLC | Internal Medicine | 2139 Route 33 Ste A, Hamilton, NJ 08690-1751 | 2018-02-14 |
| 1144740739 | Clarion Technology LLC | Internal Medicine | 5000 Atrium Way Ste 3, Mount Laurel, NJ 08054-3915 | 2017-06-23 |
| 1295115277 | Mabel Mayorga | Internal Medicine | 401 Haddon Ave Fl 2, Camden, NJ 08103 | 2015-06-04 |
| 1265832463 | Elkin A Nunez Md, LLC | Internal Medicine | 213 Winding Hill Dr, Hackettstown, NJ 07840-5665 | 2014-08-26 |
| 1962812040 | Reem Taha | Internal Medicine | 2 Lincoln Hwy Ste 502, Edison, NJ 08820-3961 | 2014-04-29 |
| 1811335433 | Taher Modarressi | Internal Medicine | 9100 Wescott Dr Ste 101, Flemington, NJ 08822 | 2013-06-05 |
| 1881038321 | Masako Ueda | Internal Medicine | 14 Cherrywood Ct, Cherry Hill, NJ 08003-1900 | 2013-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.