Hossam Radwan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA 63401 Issued in NJ

Practice address

511 New Brunswick Ave
Perth Amboy, NJ 08861-3682

Phone

(732) 442-0300

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hossam.radwan@direct.hackensackmeridian.org
• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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

• Barron Emergency Physicians LLC

  • Emergency Medicine Physician
  • Manahawkin, NJ
  • NPI 1790736940
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Pediatrics

  Medicare reassignment NPD
• Greenville Hospital

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1447292727
  NPD (past)
• HMH Hospitals Corporation

  dba JFK University Medical Center

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  NPD (past)
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  NPD (past)
• Jersey City Medical Center

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1053350421
  NPD (past)
• Liberty Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1033382130
  NPD (past)
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  NPD (past)
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1063510014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GEMINI LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268816",
            "telephone_number": "732-863-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613682",
            "telephone_number": "732-442-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "HOSSAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06340100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA 63401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quick Med Chiropractic LLC
• Claribel Quiles, RN
• Chaiylah Quinn
• Hugo Quinones, DMD
• Johanna Quintero, LSW
• Sozan L Ragheb, MD
• John Seneka Rajapakse, M.D.
• Prema Ramashwar, APN-C
• Christopher Michael Ramirez
• Anthony Abraham Ramon, LSW

• Pediatrics Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.