Individual provider Active NPI

Marwan Assaleh, MD

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1518066000
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05278500 Issued in NJ
Practice address
591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714
Phone
(201) 653-9115
Fax
(201) 653-8119
NPI assigned
Sep 21, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05278500 NJ Primary

Addresses

Primary practice location

591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714

Mailing address

591 Summit Ave
Suite 205
Jersey City, NJ 07306-2714
Phone (201) 653-9115

Other identifiers 1

IdentifierTypeStateIssuer
7903006MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000051 NJ Practitioner - Internal Medicine 4587698980 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2017 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Immediate Care P.C. Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Marwan Assaleh, MD, PC Internal Medicine PastSince Jan 23, 2014 Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: massaleh77189@direct.optum.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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1518066000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 205",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-653-9115",
            "fax_number": "201-653-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 205",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-653-9115",
            "fax_number": "201-653-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSALEH",
        "first_name": "MARWAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05278500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7903006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.