Kasem Ayoub, M.D.
Individual provider Active NPI Internal Medicine Physician · Ramsey, NJ
NPI 1083964720 · NPPES record last updated Feb 9, 2015
Key facts
- NPI
- 1083964720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA09566400 (NJ)
- Practice address
- 470 N Franklin Tpke
Ramsey, NJ 07446-1120 - Phone
- (201) 327-8765
- Fax
- (201) 327-8496
- NPI assigned
- Sep 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Physician Services PC
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141210001238 | NJ | Practitioner - Internal Medicine | 6608198288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Internal Medicine | Current |
Accepting new patients |
Locations
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
470 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 327-8765
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09566400 | NJ | Yes |
Addresses
Primary practice location
470 N Franklin Tpke
Ramsey, NJ 07446-1120
Mailing address
470 N Franklin Tpke
Ramsey, NJ 07446-1120
Phone (201) 327-8765
Other providers in Ramsey, NJ
- Applied Functional Movement LLC
- Melissa Elaine Apriceno
- Denise A Ardito
- Art in Dentistry, LLC
- Av Dental Associates of Ramsey LLC
- Sheila Bahadori
- Jennifer Lynne Baldari
- Madison Bargetzi
- Nancy Barone
- Michelle Lynch Barredo
All providers in Ramsey, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.