Individual provider Active NPI

Sabah Kalyoussef, D.O

  • Pediatric Infectious Diseases Physician
  • New Brunswick, NJ
National Provider Identifier
1598089195
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
25MB09174000 Issued in NJ
Practice address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone
(732) 339-7841
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 25MB09174000 NJ Primary
Pediatric Infectious Diseases Physician 2080P0208X 248628 NY

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901-1766

Mailing address

254 Easton Ave
Mob 3
New Brunswick, NJ 08901-1766
Phone (732) 339-7841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248628NYMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital Current Accepting new patients
Saint Peter'S University Hospital CurrentSince Jul 31, 2019 Accepting new patients
Saint Peter'S Specialty Physicians, P.C. CurrentSince Jan 8, 2024 Accepting new patients

Locations

308 Willow Ave
Fl 1
Hoboken, NJ 07030
Phone (201) 620-3120

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

254 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 745-8574

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
#3
New Brunswick, NJ 08901
Phone (732) 745-8547

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: sabah.kalyoussef.3@8568.direct.athenahealth.com
  • Direct secure messaging: sabah.kalyoussef.2@8568.direct.athenahealth.com
  • Direct secure messaging: sabah.kalyoussef.1@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1598089195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "address_2": "MOB 3",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-339-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-339-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYOUSSEF",
        "first_name": "SABAH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MB09174000",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "248628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.