Maryam Husain, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00326500 Issued in NJ

Practice address

75 Veronica Ave Ste 205
Somerset, NJ 08873-5002

Phone

(732) 246-9900

Fax

(732) 246-9903

NPI assigned

Mar 14, 2014

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, New York, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of New Jersey LLCGroup PAC ID 7214406305, 11 clinicians

Affiliated Dermatologists and Dermatologic Surgeons, P.a.Group PAC ID 2961305065, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.6

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: maryan.husain@affiliateddermatologists.chartmakerdirect.com

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.

• Affiliated Dermatologists and Dermatologic Surgeons, P.a.

  • Procedural Dermatology Physician
  • Morristown, NJ
  • NPI 1760537914
  Medicare reassignment Care Compare group
• Epiphany Dermatology of New Jersey LLC

  • Dermatology Physician
  • Bridgewater, NJ
  • NPI 1720931801
  Medicare reassignment Care Compare group
• Aura Dermatology at Edison LLC

  • Dermatology Physician
  • Edison, NJ
  • NPI 1558138214
  Medicare reassignment

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1023434065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ORIOLE LN",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763530",
            "telephone_number": "908-249-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-246-9900",
            "fax_number": "732-246-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "MARYAM",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "52050",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "017552",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00326500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Haiyang Hu
• Nadine Sabina Hubert, MSN, FNP-BC
• Vanessa Marie Hudacko
• Hudon Valley Medical PC
• Latasha Hurst
• Amml Hussein, LSW
• I&S Care, Inc. (Home Helpers)
• Elisabeth Iancu, PTA
• Julianne Ibrahim
• Wael S Ibrahim, DMD

• Medical Physician Assistant in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.