Yasir Daifallah Masadeh, D.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00615400 Issued in NJ

Practice address

461 Central Ave
Jersey City, NJ 07307-2740

Phone

(201) 420-1222

Fax

(201) 420-1369

NPI assigned

Jul 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Main St. Optical LLC

  • Optometrist
  • Paterson, NJ
  • NPI 1790236735
  NPD (past) Authorized official
• Bethany Clinic PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1811655863
  NPD (past)
• Optical World of Elizabeth LLC

  • Optometrist
  • Elizabeth, NJ
  • NPI 1366455032
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1598920373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072740",
            "telephone_number": "201-420-1222",
            "fax_number": "201-420-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072740",
            "telephone_number": "201-420-1222",
            "fax_number": "201-420-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASADEH",
        "first_name": "YASIR",
        "middle_name": "DAIFALLAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00615400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Marulanda
• Shaili Marwaha
• Marwan Assaleh, MD, PC
• Mariam Marzouk
• Rana Marzouq, MD
• Charles Edward Mascenik Jr., D.C.
• Rasheda Mason, RN
• Renee Mason, FNP-C
• Melissa Massa, RN, APN
• Robert Mateo, APN

• Optometrist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.