Individual provider Active NPI

Nabil Yacoub Younan, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Linwood, NJ
National Provider Identifier
1215194352
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
MA027653 Issued in NJ
Practice address
2 Candlewood Drive
Seashore Anesthesia
Linwood, NJ 08221
Phone
(609) 927-7273
Fax
(609) 927-7273
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X MA027653 NJ Primary

Addresses

Primary practice location

2 Candlewood Drive
Seashore Anesthesia
Linwood, NJ 08221

Mailing address

2 Candlewood Drive
Seashore Anesthesia
Linwood, NJ 08221
Phone (609) 927-7273

Other identifiers 2

IdentifierTypeStateIssuer
780222355000OtherNJHORIZON BCBS
3027309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA027653NJMDAddiction Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1215194352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CANDLEWOOD DRIVE",
            "address_2": "SEASHORE ANESTHESIA",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-927-7273",
            "fax_number": "609-927-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CANDLEWOOD DRIVE",
            "address_2": "SEASHORE ANESTHESIA",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-927-7273",
            "fax_number": "609-927-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNAN",
        "first_name": "NABIL",
        "middle_name": "YACOUB",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NJ",
            "license": "MA027653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "780222355000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.