Active NPI
Amina Elkassir, M.D.
- Pediatrics Physician
- Fort Lee, NJ
National Provider Identifier
1518909290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA03781600
- Practice address
- 487 Edsall Boulevard
Fort Lee, NJ 07024-1942 - Phone
- (201) 224-4300
- Fax
- (201) 224-4397
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA03781 | NJ | |
| Pediatrics Physician | 208000000X | 25MA03781600 | NJ | Primary |
Addresses
Primary practice location
487 Edsall Boulevard
Fort Lee, NJ 07024-1942
Mailing address
487 Edsall Boulevard
Fort Lee, NJ 07024-1942
Phone (201) 224-4300
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621000153 | NJ | Order and Referring Only - Pediatric Medicine | 8426349598 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03781 | NJ | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1518909290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 EDSALL BOULEVARD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241942",
"telephone_number": "201-224-4300",
"fax_number": "201-224-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 EDSALL BOULEVARD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241942",
"telephone_number": "201-224-4300",
"fax_number": "201-224-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKASSIR",
"first_name": "AMINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA03781",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA03781600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
- Edge Wellness and Physical Therapy, LLC
- Elaine Katz Edlin, RDH
- Ej and JJ Inc (The Medicine Shoppe Pharmacy)
- Elevate PT LLC (Elevate Performance Therapy)
- Elite Spine and Sports Care of Fort Lee PC
- Elliot L Plotkin DPM (The Foot and Ankle Center of Fort Lee)
- Emka Home Care Services Inc
- Emmanuel Acupuncture
- Endocrinology and Diabetes Associates, LLC
- Equilibrium, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.