Individual provider Active NPI

Nossratollah Hooshangi, MD

  • Neurological Surgery Physician
  • Edison, NJ
National Provider Identifier
1598846990
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA03256800 Issued in NJ
Practice address
93 James St
Suite 309
Edison, NJ 08820-3902
Phone
(732) 549-9082
Fax
(732) 549-9251
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA03256800 NJ Primary

Addresses

Primary practice location

93 James St
Suite 309
Edison, NJ 08820-3902

Mailing address

93 James St
Suite 309
Edison, NJ 08820-3902
Phone (732) 549-9082

Other identifiers 1

IdentifierTypeStateIssuer
0670502MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03256800NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1598846990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 JAMES ST",
            "address_2": "SUITE 309",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-549-9082",
            "fax_number": "732-549-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 JAMES ST",
            "address_2": "SUITE 309",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-549-9082",
            "fax_number": "732-549-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSHANGI",
        "first_name": "NOSSRATOLLAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA03256800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.