Jan Samir Youssef, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07328900 Issued in NJ

Practice address

115 Franklin Ave
Nutley, NJ 07110-2924

Phone

(973) 773-9250

Fax

(973) 773-9525

NPI assigned

Jun 22, 2006

Last updated

Jan 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Otolaryngology

Education

Rutgers New Jersey Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Center of NJGroup PAC ID 8426946542, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyoussef@direct.rwjbh.org

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.

• Ear, Nose & Throat Center of NJ

  • Otolaryngology Physician
  • Nutley, NJ
  • NPI 1821276478
  Medicare reassignment Care Compare group NPD
• Freeman Pain Institute PA

  dba Redefine Healthcare

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
  • NPI 1689770539
  NPD (past)
• North American Partners in Pain Management New Jersey LLC

  • Pain Medicine (Anesthesiology) Physician
  • Long Branch, NJ
  • NPI 1508165945
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Montclair Hospital LLC

  dba HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1386680635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102924",
            "telephone_number": "973-773-9250",
            "fax_number": "973-773-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102924",
            "telephone_number": "973-773-9250",
            "fax_number": "973-773-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "JAN",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07328900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Peter Wujciak, MD
• Kayla Marie Yanga, FNP-C
• Yaranil Ferrer LCSW LLC (Calma Counseling)
• Sang W Yoo, MD
• Your Inner Rainbow LLC
• Albert J Zazzali, MD
• George Nicholas Zazzali Jr., M.D.
• Peter George Zazzali, MD
• Jacob Zeffren, MD
• Nazende Zeren

• Specialist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.

Verify at the official NPI Registry.