Active NPI
Cyrus Vosough, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MA070629
- Practice address
- 504 Hamburg Tpke Ste B105
Wayne, NJ 07470-2011 - Phone
- (973) 595-0063
- Fax
- (973) 240-8990
- NPI assigned
- Jun 2, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MA070629 | NJ | Primary |
Addresses
Primary practice location
504 Hamburg Tpke Ste B105
Wayne, NJ 07470-2011
Mailing address
PO Box 43092
Upper Montclair, NJ 07043-0092
Phone (973) 595-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8481008 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers, Robert Woood Johnson Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2182 Morris Ave
Union, NJ 07083-5902
Phone (908) 851-2666
504 Hamburg Tpke
Suite B105
Wayne, NJ 07470-2034
Phone (973) 595-0063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA070629 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Medical, LLC | Current | Accepting new patients | |
| North Jersey Rehab LLC | Current | Accepting new patients |
Locations
1900 Union Valley Rd
Hewitt, NJ 07421
Phone (973) 248-0200
2182 Morris Ave
Union, NJ 07083
Phone (908) 851-2666
510 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 720-8333
504 Hamburg Tpke
Ste B105
Wayne, NJ 07470
Phone (973) 595-0063
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.
-
- Specialist
- Wayne, NJ
- NPI 1750337564
-
- Physical Medicine & Rehabilitation Physician
- Union, NJ
- NPI 1417021841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1194729475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43092",
"city": "UPPER MONTCLAIR",
"state": "NJ",
"postal_code": "070430092",
"telephone_number": "973-595-0063",
"fax_number": "973-720-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 HAMBURG TPKE STE B105",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702011",
"telephone_number": "973-595-0063",
"fax_number": "973-240-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSOUGH",
"first_name": "CYRUS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "MA070629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8481008",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.