Active NPI
Sabah Kalyoussef, D.O
- Pediatric Infectious Diseases Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 25MB09174000
- 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
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 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248628 | NY | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S Specialty Physicians, P.C. | Current | 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
- sabah.kalyoussef.3@8568.direct.athenahealth.com
- sabah.kalyoussef.2@8568.direct.athenahealth.com
- sabah.kalyoussef.1@8568.direct.athenahealth.com
- 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.
-
- Gastroenterology Physician
- Lakewood, NJ
- NPI 1861894982
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.