NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

100 MAIN MEDICAL ASSOCIATES
100 MAIN ST
PATERSON, NJ07505-1024
 Phone: 973-523-0317
 Fax: 973-684-8590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 100 MAIN MEDICAL ASSOCIATES

NPI Number 1619378239
LBN Legal business name 100 MAIN MEDICAL ASSOCIATES
Authorized official LOWELL TACLOB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2014
Last updated 09/15/2014 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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