Active NPIOrganization

100 Main Medical Associates

Internal Medicine in Paterson, New Jersey

NPI Number1619378239
Practice location
100 Main St, Paterson, NJ 07505-1024
Fax
973-684-8590
Last updated
September 15, 2014

100 Main Medical Associates is a healthcare organization based in Paterson, NJ. 100 Main Medical Associates practices in Paterson, NJ. The NPI Number for 100 Main Medical Associates is 1619378239. The current practice location address for 100 Main Medical Associates is 100 Main St, Paterson, NJ 07505-1024 and can be reached out via phone at 973-523-0317 and via fax at 973-684-8590.

Provider Profile Details

NPI Number
1619378239
Provider Name
100 Main Medical Associates
Provider Entity Type
Organization
Address
100 Main St, Paterson, NJ 07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Lowell Taclob, MD · President · 973-523-0317
Provider Enumeration Date
September 15, 2014
Last Update Date
September 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Main St
Paterson, NJ 07505-1024
Zip
07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590
Paterson, NJ 07505Get directions →

Provider Business Mailing Address Details

Address
100 Main St
Paterson, NJ 07505-1024
City
Paterson
State
NJ
Zip
07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 100 Main Medical Associates?

The NPI number of 100 Main Medical Associates is 1619378239. It was assigned on September 15, 2014 and is currently active in the NPPES registry.

What is the specialty of 100 Main Medical Associates?

100 Main Medical Associates is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does 100 Main Medical Associates practice?

The practice location is 100 Main St, Paterson, NJ 07505-1024. The office can be reached at 973-523-0317 (phone) or 973-684-8590 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619378239 directly on the NPPES registry website.

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