Individual provider Active NPI

Iman S Youssef, M.D.

  • Clinical Neurophysiology Physician
  • Egg Harbor TWP, NJ
National Provider Identifier
1386679942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
25MA07153100 Issued in NJ
Practice address
24 Marshall Dr
Egg Harbor TWP, NJ 08234-6002
Phone
(609) 927-9084
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 25MA07153100 NJ Primary

Addresses

Primary practice location

24 Marshall Dr
Egg Harbor TWP, NJ 08234-6002

Mailing address

24 Marshall Dr
Egg Harbor TWP, NJ 08234-6002
Phone (609) 927-9084

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
I20040329001137 NJ Practitioner - NeurologyPractitioner - Sleep Medicine 2961394390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6818 Delilah Rd
Egg Harbor Township, NJ 08234-9594
Phone (609) 453-3200

76 W Jimmie Leeds Rd
Suite 503
Galloway, NJ 08205-9419
Phone (609) 748-7820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07153100NJMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of South Jersey, LLC Clinical Neurophysiology CurrentSince Nov 1, 2007 Accepting new patients
Associated Neurologists of N.J., PA Clinical Neurophysiology Past Accepting new patients

Locations

1020 Pitney Rd
Absecon, NJ 08201
Phone (609) 646-5400

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

6818 Delilah Rd
Egg Hbr Twp, NJ 08234
Phone (609) 453-3200

76 W Jimmie Leeds Rd
Ste 503
Galloway, NJ 08205
Phone (609) 334-0797

930 Church St
Pleasantville, NJ 08232
Phone (609) 646-6900

61 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 748-5380

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

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, 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386679942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MARSHALL DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082346002",
            "telephone_number": "609-927-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARSHALL DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082346002",
            "telephone_number": "609-927-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "IMAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA07153100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.