| Hilal Medical Center Llc | |
|
482 N 12th St Newark NJ 07107-1312 | |
| (973) 484-5887 | |
| (973) 484-9740 |
| Full Name | Hilal Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 482 N 12th St, Newark, New Jersey |
| Authorized Official Name and Position | Hilal Abboushi (OWNER) |
| Authorized Official Contact | 9737485700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilal Medical Center Llc 194 Broad St Bloomfield NJ 07003-2606 Ph: (973) 484-5887 | Hilal Medical Center Llc 482 N 12th St Newark NJ 07107-1312 Ph: (973) 484-5887 |
| NPI Number | 1407181852 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 6204068117 |
|---|---|
| Medicare Enrollment ID | O20140408001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407181852 | NPI | - | NPPES |
| 6761607 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06156600 (New Jersey) | Primary |
| Provider Name | Hilal Abboushi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548378029 PECOS PAC ID: 4082667753 Enrollment ID: I20050223000364 |
| Provider Name | Anait Yakoubian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538602735 PECOS PAC ID: 6002197035 Enrollment ID: I20170105000129 |
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