Active NPI
Peter Yousef Hannoush, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Hackensack, NJ
National Provider Identifier
1184760811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MA65456
- Practice address
- 380 Sutton Ave
Hackensack, NJ 07601-1829 - Phone
- (201) 488-8766
- Fax
- (201) 488-8646
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MA65456 | NJ | Primary |
Addresses
Primary practice location
380 Sutton Ave
Hackensack, NJ 07601-1829
Mailing address
380 Sutton Ave
Hackensack, NJ 07601-1829
Phone (201) 488-8766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7331100 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616001117 | NJ | Practitioner - Endocrinology | 0547204802 | Practice locations: Hackensack, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
380 Sutton Ave
Hackensack, NJ 07601-1829
Phone (201) 488-8766
Hospital & facility affiliations
- Hackensack University Medical Center
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.67 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA65456 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatric Foot and Ankle Surgeon, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatric Clinic/Center
- Hackensack, NJ
- NPI 1871739607
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184760811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SUTTON AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011829",
"telephone_number": "201-488-8766",
"fax_number": "201-488-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SUTTON AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011829",
"telephone_number": "201-488-8766",
"fax_number": "201-488-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNOUSH",
"first_name": "PETER",
"middle_name": "YOUSEF",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "MA65456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7331100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- 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.