Individual provider Active NPI

Hussein Ibrahim Cheikhali, APN

  • Family Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1730968199
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14917200 Issued in NJ
Practice address
28 Valley Rd # 148
Montclair, NJ 07042-2709
Phone
(973) 559-4600
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14917200 NJ Primary

Addresses

Primary practice location

28 Valley Rd # 148
Montclair, NJ 07042-2709

Mailing address

PO Box 639295 1L
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

23 Main St Ste D1
Holmdel, NJ 07733-2136
Phone (201) 456-0456

Other practice location 2

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone (646) 722-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208002937 NJ Practitioner - Nurse Practitioner 9335598838 Reassigns benefits to 1 organization
I20240318001823 NY Practitioner - Nurse Practitioner 9335598838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New York, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Dec 1, 2023 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Interoperability endpoints

  • Direct secure messaging: hussein.cheikhali.1@32913.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1730968199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 1L",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD # 148",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-559-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Main St Ste D1",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077332136",
            "country_code": "US",
            "telephone_number": "201-456-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 Queens Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757211",
            "country_code": "US",
            "telephone_number": "646-722-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEIKHALI",
        "first_name": "HUSSEIN",
        "middle_name": "IBRAHIM",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14917200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.