Individual provider Active NPI

Majd Loulou, MD

  • Family Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1487728291
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08542700 Issued in NJ
Practice address
100 Medical Center Way FL 4
Somers Point, NJ 08244-2300
Phone
(609) 365-6200
Fax
(609) 926-4311
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 242168 NY
Family Medicine Physician 207Q00000X 25MA08542700 NJ Primary

Addresses

Primary practice location

100 Medical Center Way FL 4
Somers Point, NJ 08244-2300

Mailing address

396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Phone (845) 331-3131

Other practice location 1

396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Phone (845) 331-3131

Other identifiers 2

IdentifierTypeStateIssuer
02913133MedicaidNY
1487728291OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070625000514 NY Practitioner - Family Practice 9638278146 Reassigns benefits to 5 organizations
I20210927003452 NJ Practitioner - HospitalistPractitioner - Family Practice 9638278146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242168NYMDLicensed Practical Nurse
25MA08542700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. Family Medicine CurrentSince Mar 14, 2018 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Mar 14, 2018 Accepting new patients
Mid Hudson Physicians, P.C. CurrentSince Nov 30, 2009 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Shore Hospitalists Associates PA CurrentSince Jul 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Cogent Medical Care PC Family Medicine CurrentSince Dec 14, 2022 Accepting new patients
Shore Memorial Hospital Past Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

100 Medical Center Way
Fl 4
Somers Point, NJ 08244
Phone (609) 653-3265

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

Interoperability endpoints

  • Direct secure messaging: mloulou199360@direct-guthrie.org

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1487728291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "address_2": "MID HUDSON PHYSICIANS, PC",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131",
            "fax_number": "845-334-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY FL 4",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300",
            "telephone_number": "609-365-6200",
            "fax_number": "609-926-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Broadway",
            "address_2": "Mid Hudson Physicians, PC",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "fax_number": "845-334-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOULOU",
        "first_name": "MAJD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08542700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02913133",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487728291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.