ESSAM ELLABBAD MD PA (NPI# 1629082904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082904 |
| Entity Type | Organization |
| Organization Name | ESSAM ELLABBAD MD PA |
| Practice Address |
14 Dorset Ct Princeton NJ 08540-7053 |
| Mailing Address |
3100 Princeton Pike Buidling 4, Suite C Lawrenceville NJ 08648-2300 |
| Practice Telephone | 6094191027 |
| Practice Fax Number | 6098958830 |
| Mailing Telephone | 6098840900 |
| Mailing Fax Number | 6098958830 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ESSAM-ELDIN M. ELLABBAD (PRESIDENT) |
| Authorized Official Telephone | 6098440900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1218244 | NJ | Ambulatory Health Care Facilities |
| Street Address |
14 DORSET CT |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-7053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1366075285 | Junction Therapy LLC | Clinic/Center | 100 Overlook Ctr Fl 2, Princeton, NJ 08540-7814 | 2020-02-19 |
| 1184903049 | Suzanne Doubrava, Md | Clinic/Center | 20 Nassau St, Suite #504, Princeton, NJ 08542-4509 | 2011-08-10 |
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| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 1104385327 | Christian Davis, Phd, LLC | Clinic/Center | 179 Cedar Ln Ste C, Teaneck, NJ 07666-4304 | 2019-03-18 |
| 1366900995 | Meh LLC | Clinic/Center | 1250 Route 28 Ste 101, Branchburg, NJ 08876-3389 | 2019-03-02 |
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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.