Houssam El Hassan

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02888500 Issued in NJ

Practice address

1 Executive Dr Ste 103
Monmouth Junction, NJ 08852-2446

Phone

(908) 202-0323

NPI assigned

May 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1558851303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 103",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522446",
            "telephone_number": "908-202-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 103",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522446",
            "telephone_number": "908-202-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HASSAN",
        "first_name": "HOUSSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02888500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dobbs
• Ryan William Doran, O.D.
• Abhijeet Anilkumar Doshi
• Toni W Duke, P.T.A.
• Courtney Eannone, LAC
• Elite Care Solutions LLC
• Elizabeth Ernst, PAC
• Evolve Medequip LLC
• Executive Eye Associates
• Family Dentistry of South Brunswick, P.a.

• Oral and Maxillofacial Surgery (Dentist) in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.

Verify at the official NPI Registry.