NPIMap

Individual provider Active NPI

Mohammed Kananeh, M.D.

  • Neurology Physician
  • Pennington, NJ
National Provider Identifier
1497173454
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA10827100 Issued in NJ
Practice address
1 Capital Way
Pennington, NJ 08534-2520
Phone
(609) 303-4000
NPI assigned
Apr 6, 2014
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 73732 WI
Neurology Physician 2084N0400X 25MA10827100 NJ Primary

Addresses

Primary practice location

1 Capital Way
Pennington, NJ 08534-2520

Mailing address

12 Princeton Ter
Oakland, NJ 07436-3518
Phone (973) 615-4797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601000057 NJ Practitioner - NeurologyPractitioner - Internal Medicine 5193940138 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 615-4797

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (888) 724-7123

360 Essex St
Hackensack, NJ 07601-8550
Phone (201) 336-8686

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 441-1161

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 931-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10827100NJMDNeurology Physician
73732WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Neurology CurrentSince Jun 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 1, 2021 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 16, 2024 Accepting new patients
Practice Associates Medical Group CurrentSince Mar 24, 2024 Accepting new patients
Caring Neurology LLC Neurology CurrentSince Feb 1, 2023 Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Jan 21, 2024 Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 21, 2024 Accepting new patients
Oakland Medical LLC Neurology CurrentSince Apr 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 16, 2024 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: mkananeh252353@epicdirect.rwjbh.org
  • Direct secure messaging: mkananeh503522@direct.ahsys.org
  • Direct secure messaging: mkananeh864210@ahs.direct-ci.com

Organizations & group practices 11

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.

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1497173454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PRINCETON TER",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363518",
            "telephone_number": "973-615-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-303-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANANEH",
        "first_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "73732",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA10827100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.