Individual provider Active NPI

Mohammad Hossein Dorri, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Secaucus, NJ
National Provider Identifier
1366754293
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA08978200 Issued in NJ
Practice address
55 Meadowlands Pkwy FL 2
Secaucus, NJ 07094-2977
Phone
(201) 543-3809
Fax
(201) 392-3571
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA0898200 NJ
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 25MA0898200 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA08978200 NJ Primary

Addresses

Primary practice location

55 Meadowlands Pkwy FL 2
Secaucus, NJ 07094-2977

Mailing address

55 Meadowlands Pkwy FL 2
Secaucus, NJ 07094-2977
Phone (201) 543-3809

Other practice location 1

9252 Kennedy Blvd Ste 101
North Bergen, NJ 07047-9300
Phone (844) 666-2774

Other practice location 2

505 Goffle Rd
Ridgewood, NJ 07450-4027
Phone (844) 666-2774

Other practice location 3

119 Clifford St Suite 101
Newark, NJ 07105-0710
Phone (973) 589-7772

Other practice location 4

4 Brighton Rd Ste 202
Clifton, NJ 07012-1664
Phone (844) 666-2774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atrasmundi@naspinstitue.com Health Information Exchange (HIE)

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
I20111013000396 NJ Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7517139660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Meadowlands Pkwy
Third Floor Suite 310
Secaucus, NJ 07094-2977

855 Valley Rd
Suite 200
Clifton, NJ 07013-2441
Phone 55145505321008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0898200NJMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Spine and Pain Institute PC CurrentSince Oct 7, 2020 Accepting new patients
Hudson Orthopedics Pain and Spine Past Accepting new patients

Locations

4 Brighton Rd
Ste 202
Clifton, NJ 07012
Phone (844) 666-2774

855 Valley Rd
Ste 200
Clifton, NJ 07013
Phone (551) 455-0532

55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 392-3361

55 Meadowlands Pkwy
Fl Third
Secaucus, NJ 07094
Phone (201) 392-3100

55 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094

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 3

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1366754293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY FL 2",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-543-3809",
            "fax_number": "201-392-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY FL 2",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-543-3809",
            "fax_number": "201-392-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9252 Kennedy Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070479300",
            "country_code": "US",
            "telephone_number": "844-666-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Goffle Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074504027",
            "country_code": "US",
            "telephone_number": "844-666-2774",
            "fax_number": "201-392-3571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Clifford St Suite 101",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071050710",
            "country_code": "US",
            "telephone_number": "973-589-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Brighton Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121664",
            "country_code": "US",
            "telephone_number": "844-666-2774",
            "fax_number": "201-392-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORRI",
        "first_name": "MOHAMMAD",
        "middle_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA0898200",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MA0898200",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08978200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atrasmundi@naspinstitue.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Meadowlands Pkwy Fl 2",
            "city": "Secaucus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070942977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.