Active NPI
Sammy I Masri, MD
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Paramus, NJ
National Provider Identifier
1396770426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 25MA07567400
- Practice address
- 30 W Century Rd
Paramus, NJ 07652-1433 - Phone
- (201) 986-1003
- Fax
- (201) 986-1680
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 25MA07567400 | NJ | Primary |
Addresses
Primary practice location
30 W Century Rd
Paramus, NJ 07652-1433
Mailing address
30 W Century Rd
Paramus, NJ 07652-1433
Phone (201) 986-1003
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031117000470 | NJ | Practitioner - Sports Medicine | 6901710730 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Sports Medicine (Internal Medicine) Physician
- Paramus, NJ
- NPI 1063668846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1396770426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W CENTURY RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521433",
"telephone_number": "201-986-1003",
"fax_number": "201-986-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W CENTURY RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521433",
"telephone_number": "201-986-1003",
"fax_number": "201-986-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASRI",
"first_name": "SAMMY",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NJ",
"license": "25MA07567400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.