EXCEL MEDICAL GROUP PC NPI 1205512126

NPI Information

  • NPI: 1205512126
  • Provider Name: EXCEL MEDICAL GROUP PC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 31D2285864
  • Address: 7511 BERGENLINE AVE STE 101
    NORTH BERGEN, NJ
    ZIP 07047
  • Phone: (201) 378-3608

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NPI Details

EXCEL MEDICAL GROUP PC is an adult mental health clinic center in North Bergen, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EXCEL MEDICAL GROUP PC NPI is 1205512126. The provider is registered as an organization entity type.

The provider's business location address is:

7511 BERGENLINE AVE STE 101
NORTH BERGEN, NJ
ZIP 07047-459
Phone: (201) 378-3608

The provider's authorized official is Husam Wadi .
The authorized official title is Officer and has the following contact phone number (201) 378-3608.

The CLIA number assigned to this NPI record is 31D2285864 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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