PASSAIC PRIMARY CARE PHYSICIANS LLC
NPI 1497955561
Family Medicine in Passaic, NJ
About Passaic Primary Care Physicians Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSAIC PRIMARY CARE PHYSICIANS LLC (NPI 1497955561) is a healthcare organization registered as a family medicine in Passaic, New Jersey and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Ishak Soliman, Owner/md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Passaic Primary Care Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Passaic Primary Care Physicians LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2078768
Passaic Primary Care Physicians, LLC · Passaic, NJFrequently 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 Passaic Primary Care Physicians LLC's NPI number?
The NPI number for Passaic Primary Care Physicians LLC is 1497955561. It was assigned to this organization in the NPPES registry on July 18, 2007.
Where is Passaic Primary Care Physicians LLC located?
Passaic Primary Care Physicians LLC is located at 140 Passaic Ave, Passaic, NJ 07055. The listed phone number is (973) 777-8900.
What is Passaic Primary Care Physicians LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Passaic Primary Care Physicians LLC enrolled in Medicare?
Yes. Passaic Primary Care Physicians LLC is registered in the Medicare PECOS enrollment system.
When is Passaic Primary Care Physicians LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Passaic Primary Care Physicians LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Passaic Primary Care Physicians LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Passaic Primary Care Physicians LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2078768) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Passaic Primary Care Physicians LLC was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Passaic Primary Care Physicians Llc · NPI 1497955561
Family Medicine organization in Passaic, New Jersey. Organization record, active in the CMS NPPES registry since July 18, 2007.
## Identity
- **NPI:** 1497955561 (Entity type: Organization)
- **Enumerated:** July 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ishak Soliman, OWNER/MD
## Practice location
- **Address:** 140 PASSAIC AVE, Passaic, NJ 07055-4797
- **Phone:** (973) 777-8900 · **Fax:** (973) 777-8929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2007
- **Other identifiers:** Medicare PIN 099230 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497955561) · Data from the CMS NPPES public registry.