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100 Main Medical Associates

Internal Medicine Physician in Paterson, NJ · enumerated 2014 · authorized official Lowell Taclob, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619378239

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Registry record

Entity type Organization (Type 2)
Legal business name 100 Main Medical Associates
Practice address 100 Main St, Paterson, NJ, 07505
Phone (973) 523-0317
Fax (973) 684-8590
Enumeration date Sep 15, 2014
Last updated in NPPES Sep 15, 2014

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lowell Taclob
Title President
Phone (973) 523-0317

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-09-15. Verify at npiregistry.cms.hhs.gov.
Where is 100 Main Medical Associates located?
The practice location on file with NPPES is in Paterson, NJ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-15.