Soheila Vossough, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA56756 Issued in NJ

Practice address

30 Park Ave
Suite 202
Lyndhurst, NJ 07071-1000

Phone

(201) 438-5900

Fax

(201) 438-5980

NPI assigned

Jan 8, 2007

Sex

Female

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

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

Specialty

Internal Medicine

Education

Rutgers New Jersey Medical School, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Park Avenue Medical Associates, PAGroup PAC ID 7618922196, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

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.

• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• Park Avenue Medical Associates, P.a.

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1528261385
  Medicare reassignment Care Compare group
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1144379504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "address_2": "SUITE 202",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711000",
            "telephone_number": "201-438-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "address_2": "SUITE 202",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711000",
            "telephone_number": "201-438-5900",
            "fax_number": "201-438-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSOUGH",
        "first_name": "SOHEILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA56756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vein Care Associates of NJ Inc.
• Peter Andrew Velardi, DDS
• Valerie Ann Ventura LPC, MS/ LPC
• Michelle Vieira, BCBA
• Voice & Value Psychotherapy PC
• Janette M Wahba, MD
• Walgreen Co
• Zisalo Wancier, M.D.
• Tevin Weems
• Tashia Williams, DNP

• Internal Medicine Physician in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.