Bethany Clinic PC
NPI 1811655863 · Internal Medicine Physician · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany Clinic PC is a Internal Medicine Physician organization in Paterson, NJ (NPI 1811655863).
Provider details
- NPI number
- 1811655863
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shatha Abudamous, Owner(973) 574-3740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2023-11-26
- Certified
- 2023-11-26
Frequently asked questions
- What is Bethany Clinic PC's NPI number?
- Bethany Clinic PC's National Provider Identifier (NPI) is 1811655863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethany Clinic PC?
- Bethany Clinic PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bethany Clinic PC located?
- Bethany Clinic PC's practice location on file with NPPES is 1010 Main St Ste 208b, Paterson, NJ 07503-2212.
- What is Bethany Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Bethany Clinic PC is (973) 320-7120.
- Does Bethany Clinic PC accept Medicare?
- Bethany Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bethany Clinic PC?
- The authorized official listed on Bethany Clinic PC's NPPES record is Shatha Abudamous, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethany Clinic PC's NPI active?
- Yes — Bethany Clinic PC's NPI (1811655863) is active in the NPPES registry as of the last update on 2023-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.