Individual provider Active NPI

Ghassan Nahas, MD

  • Pulmonary Disease Physician
  • Secaucus, NJ
National Provider Identifier
1700979044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
29183 Issued in NJ
Practice address
255 State RT 3 Ste 200
Secaucus, NJ 07094-3857
Phone
(201) 864-2389
NPI assigned
Oct 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 29183 NJ Primary

Addresses

Primary practice location

255 State RT 3 Ste 200
Secaucus, NJ 07094-3857

Mailing address

255 State RT 3 Ste 200
Secaucus, NJ 07094-3857
Phone (201) 864-2389

Other names 1

  • Dr. Ghassan Nahas Other name

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
I20120711000147 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8921263237 Practice locations: Secaucus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

255 Route 3 E
Suite 200
Secaucus, NJ 07094-3857
Phone (201) 864-2389

255 State RT
3 Suite 200
Secaucus, NJ 07094-3857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29183NJMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700979044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 STATE RT 3 STE 200",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-864-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 STATE RT 3 STE 200",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-864-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHAS",
        "first_name": "GHASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "29183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHASSAN",
            "last_name": "NAHAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.