| Excel Medical Group Pc | |
|
7511 Bergenline Ave Ste 101 North Bergen NJ 07047-5459 | |
| (201) 378-3608 | |
| Not Available |
| Full Name | Excel Medical Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7511 Bergenline Ave Ste 101, North Bergen, New Jersey |
| Authorized Official Name and Position | Husam Wadi (OFFICER) |
| Authorized Official Contact | 2013783608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Medical Group Pc 7511 Bergenline Ave Ste 101 North Bergen NJ 07047-5459 Ph: (201) 378-3608 | Excel Medical Group Pc 7511 Bergenline Ave Ste 101 North Bergen NJ 07047-5459 Ph: (201) 378-3608 |
| NPI Number | 1518643444 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 01/21/2025 |
| Medicare PECOS PAC ID | 0446695688 |
|---|---|
| Medicare Enrollment ID | O20241205000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518643444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Samih R Abbassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750380358 PECOS PAC ID: 3072537034 Enrollment ID: I20060118000337 |
| Provider Name | Natay Grajales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295271245 PECOS PAC ID: 8224363619 Enrollment ID: I20190708001045 |
| Provider Name | Nadine A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679006563 PECOS PAC ID: 4385079094 Enrollment ID: I20200127000444 |
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