Active NPI
Youssef Botros
- Gastroenterology Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA10006700
- Practice address
- 22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016 - Phone
- (201) 414-5732
- NPI assigned
- Jun 12, 2014
- Last updated
- Dec 26, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA10006700 | NJ | Primary |
Addresses
Primary practice location
22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016
Mailing address
135 Jefferson Ave
Jersey City, NJ 07306-2128
Phone (201) 696-6503
Other practice location 1
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0778460 | Medicaid | NJ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 -02 Broadway
Suite 301
Fair Lawn, NJ 07410-3016
Phone (201) 414-5732
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 74 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey ASC Associates, LLC | Current | Accepting new patients | |
| Hudson MD Group | Current | Accepting new patients | |
| Essex Gastroenterology Associates LLC | Gastroenterology | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Donald J. Beggs, MD PA | Past | Accepting new patients | |
| David W. Lee MD PA | Past | Accepting new patients |
Locations
5 Franklin Ave
Ste 109
Belleville, NJ 07109
Phone (973) 751-1616
1060 Clifton Ave
Clifton, NJ 07013
Phone (973) 532-7899
1060 Clifton Ave
Fl 2
Clifton, NJ 07013
Phone (973) 532-7899
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
1225 McBride Ave
Ste 224
Woodland Park, NJ 07424
Phone (862) 261-5553
Interoperability endpoints
- youssef.botros@ega.directbygreenway.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Ambulatory Surgical Clinic/Center
- Clifton, NJ
- NPI 1013634039
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
-
- Infectious Disease Physician
- Belleville, NJ
- NPI 1093847931
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1487068094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 JEFFERSON AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062128",
"telephone_number": "201-696-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22-02 BROADWAY STE 301",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "201-414-5732"
}
],
"practiceLocations": [
{
"address_1": "703 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTROS",
"first_name": "YOUSSEF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA10006700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0778460",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.