Individual provider Active NPI

Israa Hussein

  • Student in an Organized Health Care Education/Training Program
  • Dumont, NJ
National Provider Identifier
1629636287
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
125 Washington Ave
Dumont, NJ 07628-3066
Phone
(201) 374-2722
Fax
(201) 374-2723
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

125 Washington Ave
Dumont, NJ 07628-3066

Mailing address

125 Washington Ave
Dumont, NJ 07628-3066
Phone (201) 374-2722

Other practice location 1

1901 1st Ave
New York, NY 10029-7494
Phone (212) 423-6271

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
I20240801000709 NJ Practitioner - Endocrinology 2769929314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MPV New Jersey MD Services PC 146 clinicians

Practice addresses (Care Compare)

125 Washington Ave
Dumont, NJ 07628-3066
Phone (201) 374-2722

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Sep 1, 2024 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

125 Washington Ave
Dumont, NJ 07628
Phone (201) 374-2722

452 Old Hook Rd
Fl 2
Emerson, NJ 07630
Phone (201) 599-1336

Interoperability endpoints

  • Direct secure messaging: ihussein1121628@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1629636287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WASHINGTON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283066",
            "telephone_number": "201-374-2722",
            "fax_number": "201-374-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WASHINGTON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283066",
            "telephone_number": "201-374-2722",
            "fax_number": "201-374-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297494",
            "country_code": "US",
            "telephone_number": "212-423-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ISRAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.