Active NPI
Amir Karam Issa, MD
- Interventional Pain Medicine Physician
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MA10467200
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
401 Paterson-Hamburg Turnpike
Suite 310
Wayne, NJ 07470-2139
Phone (973) 363-2029
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10467200 | NJ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cura Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Origin Medical Group LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Hope Physical Therapy and Rehabilitation Service PC | Past | 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
- 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.
-
- Interventional Pain Medicine Physician
- Wayne, NJ
- NPI 1417898727
-
- Physical Therapy Clinic/Center
- Irvington, NJ
- NPI 1194973917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.