Active NPI
Mahboob Hussain, M.D.,
- Anesthesiology Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06574400
- Practice address
- 1201 Morris Ave
Union, NJ 07083-3307 - Phone
- (908) 688-3727
- Fax
- (908) 688-3036
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA06574400 | NJ | Primary |
Addresses
Primary practice location
1201 Morris Ave
Union, NJ 07083-3307
Mailing address
PO Box 659
Union, NJ 07083-0659
Phone (908) 688-3727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA06574400 | Other | NJ | NJ LICENSE CERTIFICATION |
| 7346204 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06574400 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | Accepting new patients |
| Raso - Cohen Gastroenterology Associates, Inc | Current | Accepting new patients | |
| Associates in Gastroenterology,PC | Current | Accepting new patients | |
| Ocean Family Gastroenterology PC | Current | Accepting new patients | |
| Anesthesiology Associates of Central Jersey LLC | Anesthesiology | Past | Accepting new patients |
| Lakshmi Garipalli M.D. | Anesthesiology | Past | Accepting new patients |
Locations
129 Route 37 W
Toms River, NJ 08755
Phone (732) 797-3960
129 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 797-3960
129 Route 37 W
Ste 3
Toms River, NJ 08755
Phone (732) 797-3990
129 Route 37 W
Ste 4
Toms River, NJ 08755
Phone (732) 240-0599
301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
368 Lakehurst Rd
Ste 205
Toms River, NJ 08755
Phone (732) 914-8282
425 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
9 Mule Rd
Ste E15
Toms River, NJ 08755
Phone (732) 341-7460
1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277
205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1d6c3167-ceed-47b0-b6f7-156a9cb2ffbe/
- https://fhir4.healow.com/fhir/r4/JJIGAA
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Toms River, NJ
- NPI 1760539845
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
-
- Gastroenterology Physician
- Toms River, NJ
- NPI 1831238955
-
- Gastroenterology Physician
- Toms River, NJ
- NPI 1558432419
-
- Anesthesiology Physician
- Union, NJ
- NPI 1114094836
-
- Anesthesiology Physician
- Union, NJ
- NPI 1710054424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336231828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 659",
"city": "UNION",
"state": "NJ",
"postal_code": "070830659",
"telephone_number": "908-688-3727",
"fax_number": "908-688-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070833307",
"telephone_number": "908-688-3727",
"fax_number": "908-688-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "MAHBOOB",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA06574400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE CERTIFICATION",
"identifier": "25MA06574400",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7346204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.