Provider Demographics
NPI:1487864021
Name:CAREPOINT GASTROENTEROLOGY CENTER PC
Entity Type:Organization
Organization Name:CAREPOINT GASTROENTEROLOGY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-595-6444
Mailing Address - Street 1:PO BOX 7996
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07538-7996
Mailing Address - Country:US
Mailing Address - Phone:973-595-6444
Mailing Address - Fax:973-782-4819
Practice Address - Street 1:1300 MAIN AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2266
Practice Address - Country:US
Practice Address - Phone:973-689-6700
Practice Address - Fax:973-689-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07031400174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ034881Medicare ID - Type Unspecified