Organization Active NPI

Infectious Disease Center of New Jersey, LLC

  • Specialist
  • Whippany, NJ
National Provider Identifier
1629155429
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07758200 Issued in NJ
Legal business name
INFECTIOUS DISEASE CENTER OF NEW JERSEY, LLC
Practice address
568 Route 10 W
Whippany, NJ 07981-1516
Phone
(973) 535-8355
Fax
(973) 535-8353
NPI assigned
Nov 1, 2006
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. Manal Farouk Youssef-Bessler, MDNPI 1649236027
Title
President
Phone
(973) 535-8355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07758200 NJ Primary

Addresses

Primary practice location

568 Route 10 W
Whippany, NJ 07981-1516

Mailing address

PO Box 273
Whippany, NJ 07981-0273
Phone (973) 535-8355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000054 NJ Part B Supplier - Clinic/Group Practice 9638177900 Receives reassigned benefits from 12 practitioners
Practice locations: Livingston, NJ; Whippany, NJ; West Orange, NJ; Saddle Brook, NJ

National Provider Directory

National Provider Directory

Locations

653 Willow Grove St
Ste 2700
Hackettstown, NJ 07840
Phone (908) 835-2999

68 Passaic Ave
#One
Livingston, NJ 07039
Phone (973) 758-9000

100 Madison Ave
#106
Morristown, NJ 07960

769 Northfield Ave
Ste LL10
West Orange, NJ 07052
Phone (973) 243-8819

568 State Route 10
Whippany, NJ 07981
Phone (973) 535-8355

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1629155429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079810273",
            "telephone_number": "973-535-8355",
            "fax_number": "973-535-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 ROUTE 10 W",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811516",
            "telephone_number": "973-535-8355",
            "fax_number": "973-535-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CENTER OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF-BESSLER",
        "authorized_official_first_name": "MANAL",
        "authorized_official_middle_name": "FAROUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-535-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07758200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.