Paterson Community Clinic, Pa

LBN: Paterson Community Clinic, Pa
Paterson Community Clinic, Pa is an health care organization with primary practice located at 355 21St Ave , Paterson NJ 07501-3642. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Paterson Community Clinic, Pa can be contacted via phone (973) 523-9090, or through Aqel, Mahmoud via phone (973) 523-9090.

Contact Information

Primary practice address
355 21St Ave Paterson NJ 07501-3642
Phone: (973) 523-9090
Fax: (973) 523-5222
Website:
Map and Directions
Authorized official contact:
Name: Aqel, Mahmoud Doctor of Medicine (MD)
Phone: (973) 523-9090

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA63194 New Jersey

Profile Details

NPI number 1154375186
LBN Legal business name Paterson Community Clinic, Pa
DBA Doing business as
Authorized official Aqel, Mahmoud Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Dec 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154375186 NPPES
New Jersey MEDICAID 6849709

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