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BETHANY CLINIC PC
NPI 1811655863
Internal Medicine in Paterson, NJ

Active since December 06, 2021CLIA 31D2297852 · Waiver
1010 MAIN ST STE 208B, PATERSON, NJ 07503(973) 320-7120 Get Directions Write a Review

NPPES record last updated: November 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2023, Oct 18, 2023, Dec 6, 2021 (3 updates tracked since 2021).

About Bethany Clinic Pc NPPES

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

BETHANY CLINIC PC (NPI 1811655863) is a healthcare organization registered as an internal medicine in Paterson, New Jersey and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Shatha Abudamous, Owner, as its authorized official.

NPPES Registry Identity

NPI1811655863
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHANY CLINIC PC
Location Address1010 MAIN ST STE 208BPaterson, NJ 07503-2212
Mailing Address1010 Main StPaterson, NJ 07503-2212
Phone(973) 320-7120
Organization SubpartNo
Authorized OfficialShatha AbudamousOwner · (973) 574-3740
Enumeration DateDecember 6, 2021
Last NPPES UpdateNovember 26, 20233 updates tracked since enumeration
NPPES CertifiedNovember 26, 2023
✔ NPI 1811655863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1010 MAIN ST STE 208B, Paterson, NJ 07503
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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 31D2297852

Bethany Clinic · Paterson, NJ
Active · expires Jan 22, 2028
CLIA Number31D2297852
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorShatha Abudamous
Laboratory Phone(973) 574-3740
Laboratory LocationBethany Clinic1010 Main St Ste B208, Paterson, NJ 07503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHATHA ABUDAMOUS MD
Internal Medicine
1010 MAIN ST STE 208B
PATERSON, NJ 07503
Passaic County (973) 574-3740

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 Bethany Clinic PC's NPI number?

The NPI number for Bethany Clinic PC is 1811655863. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Bethany Clinic PC located?

Bethany Clinic PC is located at 1010 Main St Ste 208B, Paterson, NJ 07503. The listed phone number is (973) 320-7120.

What is Bethany Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bethany Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2297852) is associated with this NPI, valid through January 22, 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 Bethany Clinic PC was last updated on November 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.