Active NPI
Mohamed Fouad Hussein Sr., PHARMACIST
- Pharmacist
- North Bergen, NJ
National Provider Identifier
1093221863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03899900
- Practice address
- 7527 Bergenline Ave
North Bergen, NJ 07047-5459 - Phone
- (201) 354-5700
- NPI assigned
- Dec 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03899900 | NJ | Primary |
Addresses
Primary practice location
7527 Bergenline Ave
North Bergen, NJ 07047-5459
Mailing address
PO Box 10139
Newark, NJ 07101-3139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03899900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1093221863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10139",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071013139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7527 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475459",
"telephone_number": "201-354-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "MOHAMED",
"middle_name": "FOUAD",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03899900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.