Active NPI
Hussein Eid
- Physical Therapist
- New Milford, NJ
National Provider Identifier
1174045397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01823300
- Practice address
- 219 Richmond Ave
New Milford, NJ 07646-2517 - Phone
- (201) 907-3150
- NPI assigned
- Jul 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 293198 | CA | |
| Physical Therapist | 225100000X | 40QA01823300 | NJ | Primary |
Addresses
Primary practice location
219 Richmond Ave
New Milford, NJ 07646-2517
Mailing address
219 Richmond Ave
New Milford, NJ 07646-2517
Phone (201) 907-3150
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293198 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augustin Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Madison PT of New Jersey, PC | Physical Therapist | Past | Accepting new patients |
Locations
526 Broadway
Bayonne, NJ 07002
Phone (201) 437-9700
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Bayonne, NJ
- NPI 1457073793
Physical Therapist
-
- Physical Therapist
- Westwood, NJ
- NPI 1740369347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1174045397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 RICHMOND AVE",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462517",
"telephone_number": "201-907-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 RICHMOND AVE",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462517",
"telephone_number": "201-907-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EID",
"first_name": "HUSSEIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "293198",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01823300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.