Individual provider Active NPI

Mahboob Hussain, M.D.,

  • Anesthesiology Physician
  • Union, NJ
National Provider Identifier
1336231828
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06574400 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MA06574400OtherNJNJ LICENSE CERTIFICATION
7346204MedicaidNJ

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
I20050818000930 NJ Practitioner - Anesthesiology 5294765269 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06574400NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Raso - Cohen Gastroenterology Associates, Inc CurrentSince Mar 1, 2015 Accepting new patients
Associates in Gastroenterology,PC CurrentSince Oct 15, 2014 Accepting new patients
Ocean Family Gastroenterology PC CurrentSince Sep 1, 2014 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1d6c3167-ceed-47b0-b6f7-156a9cb2ffbe/
  • FHIR API: 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.

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

Verify at the official NPI Registry.