Individual provider Active NPI

Ghassan Wasim Jamaleddine, M.D.,F.C.C.P.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1467658013
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
197859 Issued in NY
Practice address
451 Clarkson Ave
Kings County Hospital Center
Brooklyn, NY 11203-2057
Phone
(718) 245-3774
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 197859 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 197859 NY
Pulmonary Disease Physician 207RP1001X 197859 NY Primary

Addresses

Primary practice location

451 Clarkson Ave
Kings County Hospital Center
Brooklyn, NY 11203-2057

Mailing address

19 Harsen Rd
Tenafly, NJ 07670-2601
Phone (201) 779-0914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 8, 2023 Accepting new patients
Adventist Health Physicians Network Internal Medicine CurrentSince May 8, 2023 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

2701 Chester Ave
#102
Bakersfield, CA 93301
Phone (661) 637-8857

2701 Chester Ave
Ste 102
Bakersfield, CA 93301
Phone (661) 637-8663

Interoperability endpoints

  • Direct secure messaging: gjamaleddine11427@alamedahs.direct-ci.com

Organizations & group practices 7

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1467658013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARSEN RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702601",
            "telephone_number": "201-779-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "address_2": "KINGS COUNTY HOSPITAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032057",
            "telephone_number": "718-245-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALEDDINE",
        "first_name": "GHASSAN",
        "middle_name": "WASIM",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197859",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "197859",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "197859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.