NPIMap

Individual provider Active NPI

Majid Sasanpour, MD

  • Infectious Disease Physician
  • Nutley, NJ
National Provider Identifier
1679677918
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA07282700 Issued in NJ
Practice address
181 Franklin Ave
Nutley, NJ 07110-3820
Phone
(973) 667-8117
Fax
(973) 667-6642
NPI assigned
Sep 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA07282700 NJ Primary

Addresses

Primary practice location

181 Franklin Ave
Nutley, NJ 07110-3820

Mailing address

PO Box 110147
Nutley, NJ 07110-0903
Phone (973) 667-8117

Other identifiers 2

IdentifierTypeStateIssuer
9131400MedicaidNJ
D08338100OtherNJCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000629 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 5496726572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases North PCGroup PAC ID 3173787918, 2 clinicians

Practice addresses (Care Compare)

181 Franklin Ave
Suite 204
Nutley, NJ 07110-2900
Phone (973) 667-8117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07282700NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases North PC Infectious Disease CurrentSince Apr 25, 2012 Accepting new patients
Infections Limited East, PC Infectious Disease Past Accepting new patients
Empire Medical Associates, P.C. Infectious Disease Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

25 Locust Ave
North Arlington, NJ 07031
Phone (201) 246-1111

181 Franklin Ave
Nutley, NJ 07110
Phone (973) 667-0995

181 Franklin Ave
Ste 204
Nutley, NJ 07110
Phone (973) 667-0995

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23288/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msasanpour@direct.rwjbh.org
  • Direct secure messaging: msasanpour229634@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679677918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110147",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071100903",
            "telephone_number": "973-667-8117",
            "fax_number": "973-667-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-8117",
            "fax_number": "973-667-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASANPOUR",
        "first_name": "MAJID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA07282700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9131400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D08338100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.