Active NPI
Ghassan Hussein
- Pharmacist
- Wayne, NJ
National Provider Identifier
1396013033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02976700
- Practice address
- 79 Harrison Rd
Wayne, NJ 07470-4514 - Phone
- (973) 885-0504
- Fax
- (847) 368-6863
- NPI assigned
- Dec 8, 2011
- Last updated
- Dec 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02976700 | NJ | Primary |
Addresses
Primary practice location
79 Harrison Rd
Wayne, NJ 07470-4514
Mailing address
79 Harrison Rd
Wayne, NJ 07470-4514
Phone (973) 885-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02976700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1396013033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 HARRISON RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704514",
"telephone_number": "973-885-0504",
"fax_number": "847-368-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 HARRISON RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704514",
"telephone_number": "973-885-0504",
"fax_number": "847-368-6863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "GHASSAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02976700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.