Individual provider Active NPI

Aline G Daou, MD

  • Family Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1730258070
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09633000 Issued in NJ
Practice address
302 Towne Centre Dr
Hillsborough, NJ 08844-4695
Phone
(908) 359-8613
Fax
(732) 463-6060
NPI assigned
Nov 8, 2006
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.088771 OH
Family Medicine Physician 207Q00000X M0698 TX
Family Medicine Physician 207Q00000X E-12008 AR
Family Medicine Physician 207Q00000X 62443 CT
Family Medicine Physician 207Q00000X MD466953 PA
Family Medicine Physician 207Q00000X 312640 LA
Family Medicine Physician 207Q00000X 25MA09633000 NJ Primary

Addresses

Primary practice location

302 Towne Centre Dr
Hillsborough, NJ 08844-4695

Mailing address

3 Executive Dr
Suite 400
Somerset, NJ 08873-4007
Phone (732) 369-5994

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
I20150423001805 NJ Practitioner - Family Practice 0547224651 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12008ARMDFamily Medicine Physician
62443CTMDFamily Medicine Physician
312640LAMDFamily Medicine Physician
25MA09633000NJMDFamily Medicine Physician
35.088771OHMDFamily Medicine Physician
MD466953PAMDFamily Medicine Physician
M0698TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Doctor on Demand Professionals of New Jersey, P.C. Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Genesis Medical Group LLC Family Medicine Past Accepting new patients
Genesis Professional Corp Family Medicine Past Accepting new patients
Baylor College of Medicine Family Medicine Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

302 Towne Centre Dr
Hillsborough, NJ 08844
Phone (908) 359-8613

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

Interoperability endpoints

  • Direct secure messaging: aline.daou.1@30520.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1730258070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE DR",
            "address_2": "SUITE 400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734007",
            "telephone_number": "732-369-5994",
            "fax_number": "732-369-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 TOWNE CENTRE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444695",
            "telephone_number": "908-359-8613",
            "fax_number": "732-463-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOU",
        "first_name": "ALINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.088771",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0698",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12008",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "62443",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD466953",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "312640",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09633000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.