Individual provider Active NPI

Asghar S. Hossain, M.D.

  • Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1295824381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA58069 Issued in NJ
Practice address
26-01 Broadway
105
Fair Lawn, NJ 07410-3861
Phone
(201) 703-3664
Fax
(201) 652-7233
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA58069 NJ Primary

Addresses

Primary practice location

26-01 Broadway
105
Fair Lawn, NJ 07410-3861

Mailing address

670 Yorktown PL
Paramus, NJ 07652-2208
Phone (201) 652-4045

Other identifiers 1

IdentifierTypeStateIssuer
6547800MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001093 NJ Practitioner - Psychiatry 1850580911 Reassigns benefits to 1 organization
Practice locations: Fairlawn, NJ; Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Chattanooga Medical College, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Hospital & facility affiliations

  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA58069NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority Psychiatry CurrentSince Jul 27, 1993 Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

230 E Ridgewood Ave
Bldg 10
Paramus, NJ 07652
Phone (201) 967-9020

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295824381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 YORKTOWN PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522208",
            "telephone_number": "201-652-4045",
            "fax_number": "201-652-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-01 BROADWAY",
            "address_2": "105",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103861",
            "telephone_number": "201-703-3664",
            "fax_number": "201-652-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "ASGHAR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA58069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6547800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.