Individual provider Active NPI

Mohamed Kassem, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1528027356
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10724300 Issued in NJ
Practice address
1300 Main Ave Ste 2C
Clifton, NJ 07011-2266
Phone
(973) 417-0181
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 25MA10724300 NJ Primary

Addresses

Primary practice location

1300 Main Ave Ste 2C
Clifton, NJ 07011-2266

Mailing address

46 Overlook RDG
Oakland, NJ 07436-2361
Phone (973) 417-0181

Other identifiers 1

IdentifierTypeStateIssuer
0725196MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20041206000424 FL Practitioner - Internal Medicine 9234195801 Reassigns benefits to 2 organizations
Practice locations: Panama City, FL
I20200407000089 NJ Practitioner - Internal Medicine 9234195801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Medical Care Group LLCGroup PAC ID 3476991027, 2 clinicians

Practice addresses (Care Compare)

1300 Main Ave
Suite 2C
Clifton, NJ 07011-2266
Phone (973) 417-0181

922 Main St
Suite 202
Paterson, NJ 07503-2602
Phone (973) 417-0181

Hospital & facility affiliations

  • St Andrews Bay Skilled Nursing and Rehabilitation Nursing home, Panama City, FL, CCN 105543

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305776NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic Hospitalist Services, LLC CurrentSince May 10, 2024 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Pioneer Medical Care Group LLC Internal Medicine CurrentSince Jul 13, 2024 Accepting new patients
Bayne Jones Army Community Hospital Internal Medicine PastSince Mar 29, 2020 Accepting new patients
Florida Internal Medicine Group Past Accepting new patients
Azzam Adhal, M.D. Internal Medicine Past Accepting new patients
Mustafa a Hammad MD PA Past Accepting new patients
Emerald Waters Inpatient Services LLC Internal Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1300 Main Ave
Ste 2C
Clifton, NJ 07011
Phone (973) 417-0181

1135 Main Ave
#2C
Clifton, NJ 07011
Phone (850) 890-2747

1135 Main Ave
Ste 2C
Clifton, NJ 07011
Phone (973) 928-3388

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 10

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 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1528027356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 OVERLOOK RDG",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362361",
            "telephone_number": "973-417-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE STE 2C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-417-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEM",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10724300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0725196",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.