Individual provider Active NPI

Amir Karam Issa, MD

  • Interventional Pain Medicine Physician
  • Bridgewater, NJ
National Provider Identifier
1386110799
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA10467200 Issued in NJ
Practice address
465 Union Ave
Bridgewater, NJ 08807-3196
Phone
(732) 667-7767
NPI assigned
Oct 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA10467200 NJ Primary

Addresses

Primary practice location

465 Union Ave
Bridgewater, NJ 08807-3196

Mailing address

189 Berdan Ave Unit 169
Wayne, NJ 07470-3233

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
I20190507001954 NJ Practitioner - Interventional Pain ManagementPractitioner - Internal Medicine 0345582615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura Medical Group LLCGroup PAC ID 6709266091, 3 clinicians

Practice addresses (Care Compare)

401 Paterson-Hamburg Turnpike
Suite 310
Wayne, NJ 07470-2139
Phone (973) 363-2029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10467200NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Medical Group LLC Internal Medicine CurrentSince May 18, 2022 Accepting new patients
Origin Medical Group LLC Interventional Pain Medicine Current Accepting new patients
Hope Physical Therapy and Rehabilitation Service PC PastSince Feb 18, 2025 Accepting new patients

Locations

975 Clifton Ave
Ste 101
Clifton, NJ 07013

2124 Oak Tree Rd
Fl 2
Edison, NJ 08820
Phone (732) 205-1311

34 Union Ave
Fl 1
Irvington, NJ 07111
Phone (862) 772-3797

401 Hamburg Tpke
Ste 310
Wayne, NJ 07470
Phone (551) 305-4595

189 Berdan Ave
Wayne, NJ 07470
Phone (201) 675-9352

347 Mount Pleasant Ave
Ste 202
West Orange, NJ 07052

59 Main St
Ste 1
West Orange, NJ 07052
Phone (973) 638-1740

Interoperability endpoints

  • Direct secure messaging: amir.issa@483156323729412.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1386110799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BERDAN AVE UNIT 169",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 UNION AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073196",
            "telephone_number": "732-667-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "AMIR",
        "middle_name": "KARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA10467200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.