Individual provider Active NPI

Ayman Boushra Samaan, M.D.

  • Anesthesiology Physician
  • Edison, NJ
National Provider Identifier
1710212642
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08597800 Issued in NJ
Practice address
102 James St
Suite 103
Edison, NJ 08820-3970
Phone
(732) 494-1444
Fax
(732) 494-7052
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08597800 NJ Primary

Addresses

Primary practice location

102 James St
Suite 103
Edison, NJ 08820-3970

Mailing address

102 James St
Suite 103
Edison, NJ 08820-3970
Phone (732) 494-1444

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
I20100223000618 NJ Practitioner - Anesthesiology 9335283704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Anesthesia Associates of New Jersey LLCGroup PAC ID 3173806114, 5 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

1921 Oak Tree Rd
Suite 201
Edison, NJ 08820-2073
Phone (732) 402-4300

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
Precision Anesthesia Associates of New Jersey LLC Anesthesiology CurrentSince Oct 18, 2024 Accepting new patients

Locations

1921 Oak Tree Rd
Ste 201
Edison, NJ 08820
Phone (732) 402-4300

65 James St
Edison, NJ 08820
Phone (732) 321-7010

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

Organizations & group practices 2

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 2

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1710212642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-494-1444",
            "fax_number": "732-494-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-494-1444",
            "fax_number": "732-494-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "AYMAN",
        "middle_name": "BOUSHRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08597800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.