OM MEDICAL CENTER LLC.
NPI 1346346103
Clinic/Center in Fair Lawn, NJ

Q: What is Om Medical Center LLC.'s NPI number?

The NPI number for Om Medical Center LLC. is 1346346103. It was assigned to this organization in the NPPES registry on September 16, 2006.

Q: What is Om Medical Center LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 16, 2006

12-15 BROADWAY STE B, FAIR LAWN, NJ 07410(201) 773-6868(201) 773-6867 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Om Medical Center Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OM MEDICAL CENTER LLC. (NPI 1346346103) is a healthcare organization registered as a clinic/center in Fair Lawn, New Jersey and active in the NPI registry since September 2006. The organization lists Dushyant R Patel, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1346346103

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameOM MEDICAL CENTER LLC.

Location Address12-15 BROADWAY STE BFair Lawn, NJ 07410-2031

Mailing Address12-15 Broadway Ste BFair Lawn, NJ 07410-2031 · (201) 773-6868 · Fax (201) 773-6867

Phone(201) 773-6868

Fax(201) 773-6867

Organization SubpartNo

Authorized OfficialDushyant R PatelDoctor Owner · (201) 773-6868

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJune 8, 2010

✔ NPI 1346346103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12-15 BROADWAY STE B, Fair Lawn, NJ 07410

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified109076NJ · Om Medical Center

Medicare UPINI01408

Medicaid0108871NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Om Medical Center Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Om Medical Center LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dushyant Patel, MD

Internal Medicine

NPI 1750330072

12-15 BROADWAY STE B
Fair Lawn, NJ 07410

(201) 773-6868

✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Om Medical Center LLC.'s NPI number?

The NPI number for Om Medical Center LLC. is 1346346103. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Om Medical Center LLC. located?

Om Medical Center LLC. is located at 12-15 Broadway Ste B, Fair Lawn, NJ 07410. The listed phone number is (201) 773-6868.

What is Om Medical Center LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Om Medical Center LLC. enrolled in Medicare?

Yes. Om Medical Center LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Om Medical Center LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Om Medical Center LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Om Medical Center LLC. was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.