100 Main Medical Associates
NPI 1619378239ActiveOrganization· Internal Medicine· Paterson, NJ
Internal Medicine in Paterson, New Jersey, registered in NPPES in September 2014. The authorized official on file is Lowell Taclob, MD, President.
Overview
| NPI | 1619378239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2014 |
| Last updated in NPPES | Sep 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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