Andrew Joseph Youssouf, M.D.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

4301513456 Issued in MI

Practice address

111 State Route 35 Ste 7
Cliffwood, NJ 07721-1515

Phone

(732) 566-2101

NPI assigned

Mar 18, 2010

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment NPD
• Kalamazoo TC Operator LLC

  dba Enlightened Recovery

  • Substance Abuse Rehabilitation Facility
  • Kalamazoo, MI
  • NPI 1427803089
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1003130006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JERSEY AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621923",
            "telephone_number": "732-616-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 35 STE 7",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211515",
            "telephone_number": "732-566-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080963515",
            "country_code": "US",
            "telephone_number": "732-759-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Alamo Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490062216",
            "country_code": "US",
            "telephone_number": "609-928-7751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 White Horse Rd Ste A-103",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432176",
            "country_code": "US",
            "telephone_number": "833-317-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E City Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041724",
            "country_code": "US",
            "telephone_number": "267-856-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084011209",
            "country_code": "US",
            "telephone_number": "866-376-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSOUF",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD484989",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301513456",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA09032000",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09032000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Towler, RN
• Anna Vergara, RN
• Jamila Doreen Vidal
• YMCA of the Jersey Shore
• YMCA of the Jersey Shore

• Addiction Medicine (Preventive Medicine) Physician in Cliffwood, NJ
• Providers in Cliffwood, NJ by specialty
• Addiction Medicine (Preventive Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.