Sami M Mamoun MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SAMI M MAMOUN MD PA

Practice address

188 Eagle Rock Ave
Suite 2a
Roseland, NJ 07068-1723

Phone

(973) 226-7565

Fax

(973) 226-4645

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Sami M Mamoun, MD PA

Title

Owner

Phone

(973) 226-7565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1124287255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 EAGLE ROCK AVE",
            "address_2": "SUITE 2A",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681723",
            "telephone_number": "973-226-7565",
            "fax_number": "973-226-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 EAGLE ROCK AVE",
            "address_2": "SUITE 2A",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681723",
            "telephone_number": "973-226-7565",
            "fax_number": "973-226-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI M MAMOUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MAMOUN",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-226-7565",
        "authorized_official_credential": "MD  PA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseland Spinal Rehabilitation Center PC
• Thomas A. Rossi, D.M.D.
• Michael Russo
• Noelle Russomano, MS, RD
• Sagar Parikh MD LLC
• Robert Eugene Sauerborn, RPH
• Amanda Scadutto
• George Schneider, M.D.
• Douglas Seiden, PH.D
• Lori Sernio

• Plastic Surgery Physician in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.