Jacques G Losman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04496200 Issued in NJ

Practice address

240 Williamson Street
Suite 104
Elizabeth, NJ 07207

Phone

(908) 994-5480

NPI assigned

Feb 7, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• Direct secure messaging: jacquesglosman.jacqueslosman@139495.advancedmd-direct.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.

• Jacques G. Losman, MD, PA

  • Surgery Physician
  • South Orange, NJ
  • NPI 1588970388
  NPD (past) Authorized official
• Wound Healing of Essex, L.L.C.

  • Surgery Physician
  • South Orange, NJ
  • NPI 1720424344
  NPD (past) Authorized official
• Donato a Colavita, MD PA

  • Surgery Physician
  • Newark, NJ
  • NPI 1134364102
  NPD (past)
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1063552016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BRENTWOOD DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791132",
            "telephone_number": "973-274-1240",
            "fax_number": "908-994-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON STREET",
            "address_2": "SUITE 104",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-994-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSMAN",
        "first_name": "JACQUES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04496200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilucy Lopes, LSW
• Alberto Lopez Silvero, MD
• Emmanuel Lopez
• Jacqueline Noemi Lopez
• Lizeth Paola Lopez
• Roseline Louis Felisma
• Jazmine Aleyah Love, PA-C
• Lovereign Care Services LLC
• Luis Benalcazar, MD
• Luna Rehab LLC

• Surgery Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.