Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

100 Main Medical Associates

Organization Internal Medicine Physician · NPI 1619378239

100 Main Medical Associates is an Internal Medicine Physician in Paterson, New Jersey. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

100 Main St
Paterson, NJ 07505-1024
Phone: (973) 523-0317
Fax: (973) 684-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619378239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lowell Taclob — President · (973) 523-0317
NPI enumeratedSeptember 15, 2014
Last updated in NPPESSeptember 15, 2014
Mailing address100 Main St, Paterson, NJ 07505-1024

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