Paul R Kouyoumdji, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA64453 Issued in NJ

Practice address

4 By Pass Rd
Suite 101
Salem, NJ 08079-2053

Phone

(856) 935-3582

Fax

(856) 935-4382

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

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

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.

• Inspira Health Network Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856

  NJ

  Medicare reassignment NPD
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  NPD (past)
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  NPD (past)
• Salem Medical Professionals PC

  • Family Medicine Physician
  • Salem, NJ
  • NPI 1073524518

  Pediatrics

  NPD (past)
• Salem Medical Professionals, P.C.

  • Family Medicine Physician
  • Logan Township, NJ
  • NPI 1285742197

  Pediatrics

  NPD (past)
• Salem Medical Professionals, PC

  • Pediatrics Physician
  • Salem, NJ
  • NPI 1154334811

  Pediatrics

  NPD (past)
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1124027172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504290",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "856-935-3582",
            "fax_number": "856-935-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BY PASS RD",
            "address_2": "SUITE 101",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792053",
            "telephone_number": "856-935-3582",
            "fax_number": "856-935-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUYOUMDJI",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Potosky OD
• Prabhjot Kalsi, MD
• Samuel Kaslon
• Mir Faizan Ali Khan
• Tiffany Lynn Kimble, APN
• Julianna Michele Kreusel
• Joseph A Lacavera III, D.O.
• Jacquelyn Laspada
• Legacy Treatment Serivces, Inc.
• Legacy Treatment Serivces, Inc.

• All providers in Salem, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.