Individual provider Active NPI

Mostafa Aly El Khashab, M.D

  • Neurological Surgery Physician
  • Rutherford, NJ
National Provider Identifier
1689790669
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA08267800 Issued in NJ
Practice address
201 Route 17
5TH Floor
Rutherford, NJ 07070-2574
Phone
(201) 457-0044
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA08267800 NJ Primary

Addresses

Primary practice location

201 Route 17
5TH Floor
Rutherford, NJ 07070-2574

Mailing address

3600 Rte 66
3Rd FL
Neptune, NJ 07753-2645
Phone (732) 807-0877

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
I20110216000572 NJ Practitioner - Neurosurgery 5991986499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

7650 River Rd
Suite 300
North Bergen, NJ 07047-6527
Phone (201) 224-8831

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08267800NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 2, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 2, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

5 Marine View Plz
Ste 101B
Hoboken, NJ 07030
Phone (848) 308-4105

5 Marine View Plz
Hoboken, NJ 07030
Phone (201) 683-8058

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831

7650 River Rd
Ste 120
North Bergen, NJ 07047
Phone (201) 255-4046

Interoperability endpoints

  • Direct secure messaging: mostafa.elkhashab@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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 4

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1689790669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RTE 66",
            "address_2": "3RD FL",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-807-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17",
            "address_2": "5TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702574",
            "telephone_number": "201-457-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL KHASHAB",
        "first_name": "MOSTAFA",
        "middle_name": "ALY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA08267800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.