| MD Care Clinic LLC | |
|
1300 Main Ave Ste 2c Clifton NJ 07011-2266 | |
| (973) 417-0181 | |
| (609) 388-6333 |
| Full Name | MD Care Clinic LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Main Ave Ste 2c, Clifton, New Jersey |
| Authorized Official Name and Position | Mohamed Kassem (PRESIDENT) |
| Authorized Official Contact | 8508720332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Care Clinic LLC 46 Overlook Rdg Oakland NJ 07436-2361 | MD Care Clinic LLC 1300 Main Ave Ste 2c Clifton NJ 07011-2266 Ph: (973) 417-0181 |
| NPI Number | 1659911287 |
|---|---|
| Provider Enumeration Date | 01/12/2020 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 4880023274 |
|---|---|
| Medicare Enrollment ID | O20240805004245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659911287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Miguel Angel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033689526 PECOS PAC ID: 2668712506 Enrollment ID: I20190313000038 |
| Provider Name | Mohamed K Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528027356 PECOS PAC ID: 9234195801 Enrollment ID: I20200407000089 |
| Provider Name | Emad a Eisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725749 PECOS PAC ID: 9830338995 Enrollment ID: I20230825003541 |
| Provider Name | Jessica Dominguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518749092 PECOS PAC ID: 6204375934 Enrollment ID: I20240827000477 |
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