Individual provider Active NPI

Hussein Jaafar

  • Physical Therapist
  • Union City, NJ
National Provider Identifier
1053895441
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01822700 Issued in NJ
Practice address
4700 Bergenline Ave
Union City, NJ 07087-1610
Phone
(201) 730-6513
NPI assigned
Sep 20, 2018
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048371 NY
Physical Therapist 225100000X 40QA01822700 NJ Primary

Addresses

Primary practice location

4700 Bergenline Ave
Union City, NJ 07087-1610

Mailing address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

Other practice location 1

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107000277 NJ Practitioner - Physical Therapist in Private Practice 6901150135 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liv Physical Therapy of Clifton LLCGroup PAC ID 6507220563, 3 clinicians
Promed Physical Therapy CorpGroup PAC ID 2567892144, 2 clinicians

Practice addresses (Care Compare)

6 Main Ave
Clifton, NJ 07014-1921
Phone (973) 320-2183

7309 Broadway
North Bergen, NJ 07047-5738
Phone (201) 725-3581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048371NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoboken Integrated Health Care LLC Physical Therapist CurrentSince Dec 23, 2018 Accepting new patients
Liv Physical Therapy of Clifton LLC Physical Therapist CurrentSince Jul 14, 2023 Accepting new patients
Dr. Philip Delli Santi, P.C. Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Liv Physical Therapy LLC CurrentSince Dec 26, 2023 Accepting new patients
Bayshore Rehab Medicine, PC PastSince Dec 23, 2018 Accepting new patients
Premier Medical of NJ Physical Therapist PastSince May 24, 2025 Accepting new patients

Locations

6 Main Ave
Clifton, NJ 07014
Phone (201) 779-4998

41-51 Wilson Ave
Ste 1-C
Newark, NJ 07105
Phone (973) 344-4848

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1053895441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "201-445-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871610",
            "telephone_number": "201-730-6513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Harristown Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523354",
            "country_code": "US",
            "telephone_number": "201-445-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAAFAR",
        "first_name": "HUSSEIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01822700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.