Individual provider Active NPI

Emad Mounir, M.D.

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1598899015
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
218434 Issued in NY
Practice address
401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139
Phone
(973) 790-9222
Fax
(973) 790-0671
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06530600 NJ
Psychiatry Physician 2084P0800X 218434 NY Primary

Addresses

Primary practice location

401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139

Mailing address

401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008389 NJ Practitioner - Psychiatry 5294049151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Wellness Center of NJ LLCGroup PAC ID 6709156409, 2 clinicians
Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 clinicians
The Psych Center LLCGroup PAC ID 0446527261, 3 clinicians

Practice addresses (Care Compare)

225 Demott LN
Suite 203
Somerset, NJ 08873-4875
Phone (732) 873-2777

401 Hamburg Tpke
Suite 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

465 Bloomfield Ave
Montclair, NJ 07042-3548
Phone (201) 606-2592

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06530600NJMDPsychiatry Physician
218434NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Freeman'S Place Counseling CurrentSince Jan 24, 2026 Accepting new patients
The Psych Center LLC CurrentSince Jan 15, 2022 Accepting new patients
Christian Wellness Center of NJ LLC CurrentSince Aug 1, 2023 Accepting new patients
Wayne Behavioral Service, LLC Psychiatry CurrentSince Nov 19, 2021 Accepting new patients

Locations

190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520

125 River Rd
Ste 106
Edgewater, NJ 07020
Phone (201) 606-2592

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

465 Bloomfield Ave
Montclair, NJ 07042
Phone (201) 606-2592

225 Demott Ln
Ste 203
Somerset, NJ 08873
Phone (732) 873-2777

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

Interoperability endpoints

  • Direct secure messaging: emounir679830@nychhc.direct-ci.com

Organizations & group practices 4

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1598899015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-790-9222",
            "fax_number": "212-562-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-790-9222",
            "fax_number": "973-790-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNIR",
        "first_name": "EMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06530600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.