Individual provider Active NPI

Hussam Eltoukhy

  • Hematology (Internal Medicine) Physician
  • West Long Branch, NJ
National Provider Identifier
1356737324
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
25MA10838500 Issued in NJ
Practice address
100 Hwy 36 Ste 1B
West Long Branch, NJ 07764-1453
Phone
(732) 222-1711
NPI assigned
Apr 7, 2015
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10838500 NJ
Hematology (Internal Medicine) Physician 207RH0000X 25MA10838500 NJ Primary
Hematology & Oncology Physician 207RH0003X 25MA10838500 NJ
Medical Oncology Physician 207RX0202X 25MA10838500 NJ

Addresses

Primary practice location

100 Hwy 36 Ste 1B
West Long Branch, NJ 07764-1453

Mailing address

100 Hwy 36 Ste 1B
West Long Branch, NJ 07764-1453

Other practice location 1

150 Bergen St
Uh-I248
Newark, NJ 07103-2496
Phone (973) 972-6056

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
I20210818001565 NJ Practitioner - Hematology/Oncology 5395140073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

100 Hwy 36
Suite 1B
West Long Branch, NJ 07764-1453
Phone (732) 222-1711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10838500NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince May 1, 2023 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Aug 16, 2021 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients

Locations

456 Chestnut St
Lakewood, NJ 08701
Phone (732) 222-1711

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

150 Bergen St
#248
Newark, NJ 07103
Phone (973) 972-6056

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

100 State Route 36
Ste 1B
West Long Branch, NJ 07764
Phone (732) 222-1711

100 State Route 36
Ste 1M
West Long Branch, NJ 07764
Phone (732) 222-6046

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: heltoukhy45711@epicdirect.rwjbh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1356737324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HWY 36 STE 1B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HWY 36 STE 1B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641453",
            "telephone_number": "732-222-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen St",
            "address_2": "UH-I248",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032496",
            "country_code": "US",
            "telephone_number": "973-972-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTOUKHY",
        "first_name": "HUSSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10838500",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NJ",
            "license": "25MA10838500",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA10838500",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MA10838500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.