Individual provider Active NPI

Mina Youssef, DDS

  • General Practice Dentistry
  • Jersey City, NJ
National Provider Identifier
1407463086
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1223G0001X Issued in NJ
Practice address
821 Bergen Ave Apt B2
Jersey City, NJ 07306-4522
Phone
(201) 365-8593
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1223G0001X NJ Primary

Addresses

Primary practice location

821 Bergen Ave Apt B2
Jersey City, NJ 07306-4522

Mailing address

821 Bergen Ave Apt B2
Jersey City, NJ 07306-4522
Phone (201) 365-8593

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL minayoussef7@gmail.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1223G0001XNJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile With Style LLC General Practice CurrentSince Jan 28, 2021 Accepting new patients
Perfect Smiles Dental General Practice Current Accepting new patients

Locations

873 Bergen Ave
Fl 1
Jersey City, NJ 07306
Phone (201) 365-8593

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1407463086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 BERGEN AVE APT B2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064522",
            "telephone_number": "201-365-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BERGEN AVE APT B2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064522",
            "telephone_number": "201-365-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "minayoussef7@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 Bergen Ave Apt B2",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073064522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.