Organization Active NPI

Diabetes Endocrine Center P a

  • Endocrinology, Diabetes & Metabolism Physician
  • Metuchen, NJ
National Provider Identifier
1710030556
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES ENDOCRINE CENTER P A
Practice address
208 Bridge St
Metuchen, NJ 08840-2290
Phone
(732) 603-2001
NPI assigned
Jan 18, 2007
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Faiyaz Hussain, MD
Title
Physician
Phone
(732) 603-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

208 Bridge St
Metuchen, NJ 08840-2290

Mailing address

208 Bridge St
Metuchen, NJ 08840-2290
Phone (732) 603-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000283 NJ Part B Supplier - Clinic/Group Practice 1951555937 Receives reassigned benefits from 1 practitioner
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

208 Bridge St
Metuchen, NJ 08840
Phone (732) 603-2001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1710030556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402290",
            "telephone_number": "732-603-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402290",
            "telephone_number": "732-603-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ENDOCRINE CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "FAIYAZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-603-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.