| Clifton Medical Clinic Inc | |
|
1135 Main Ave # 3 Clifton NJ 07011-2353 | |
| (862) 238-8181 | |
| (973) 777-3225 |
| Full Name | Clifton Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1135 Main Ave # 3, Clifton, New Jersey |
| Authorized Official Name and Position | Nael Abutabikh (OWNER) |
| Authorized Official Contact | 8622388181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Medical Clinic Inc 1135 Main Ave # 3 Clifton NJ 07011-2353 Ph: (862) 238-8181 | Clifton Medical Clinic Inc 1135 Main Ave # 3 Clifton NJ 07011-2353 Ph: (862) 238-8181 |
| NPI Number | 1356936611 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 3274942487 |
|---|---|
| Medicare Enrollment ID | O20210429000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356936611 | NPI | - | NPPES |
| 25MA07945900 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nael A Abutabikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235120155 PECOS PAC ID: 8921024670 Enrollment ID: I20051021000216 |
| Provider Name | Evangelina M Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922514330 PECOS PAC ID: 0345503496 Enrollment ID: I20180424001903 |
| Provider Name | Ndidiamaka Ezuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881287829 PECOS PAC ID: 9830507326 Enrollment ID: I20210422000369 |
| Provider Name | Anara Hamded |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740923234 PECOS PAC ID: 1456739242 Enrollment ID: I20220607002397 |
| Provider Name | Liudmila Tizhgarten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669177416 PECOS PAC ID: 2860854916 Enrollment ID: I20230822000839 |
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