Samir M. Ousserghine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NA Issued in NJ

Practice address

554 Avenue C Apt 1D
Bayonne, NJ 07002-3705

Phone

(201) 993-1616

NPI assigned

May 23, 2021

Last updated

Aug 27, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23997/brand/1/csg/1/fhir/r4
• Direct secure messaging: samir.ousserghine.1@23997.direct.athenahealth.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.

• Union County Pediatrics Group Inc

  • Pediatrics Physician
  • Elizabeth, NJ
  • NPI 1831379841
  NPD (past)

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1073188041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 AVENUE C APT 1D",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023705",
            "telephone_number": "201-993-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 AVENUE C APT 1D",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023705",
            "telephone_number": "201-993-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSSERGHINE",
        "first_name": "SAMIR",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immaculate Orlando, DC
• Oleg I. Orlov, MD
• Orthopaedics Spine and Sports Medicine LLC (Total Orthopedics and Sports Medicine)
• Danielle Ortiz, LPC
• Ostrich Medical Transportation, LLC
• Out of the Box LCSW, PLLC
• Aleza P. Paclarin
• Adrian P Padkowsky, M.D
• George Padkowsky, MD
• Yasmine Jeanille Paez, LCSW

• Family Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.