Active NPI
Reyad Mohsen, MD
- Hematology & Oncology Physician
- Wayne, NJ
National Provider Identifier
1689635286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MA62887
- Practice address
- 508 Hamburg Tpke
Suite 202
Wayne, NJ 07470-8482 - Phone
- (973) 790-3433
- Fax
- (973) 790-0433
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MA62887 | NJ | Primary |
Addresses
Primary practice location
508 Hamburg Tpke
Suite 202
Wayne, NJ 07470-8482
Mailing address
PO Box 4630
Wayne, NJ 07474-4630
Phone (973) 790-3433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7046707 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62887 | NJ | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Hematology/Oncology Corp | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Wayne, NJ
- NPI 1902852858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1689635286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4630",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074744630",
"telephone_number": "973-790-3433",
"fax_number": "973-790-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 HAMBURG TPKE",
"address_2": "SUITE 202",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708482",
"telephone_number": "973-790-3433",
"fax_number": "973-790-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHSEN",
"first_name": "REYAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "MA62887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7046707",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.