Active NPI
Youssef A Hannallah, M.D.
- Internal Medicine Physician
- Secaucus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06231700
- Practice address
- 255 Route 3 East
Suite 107
Secaucus, NJ 07094-3857 - Phone
- (201) 330-3335
- Fax
- (201) 330-3326
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06231700 | NJ | Primary |
Addresses
Primary practice location
255 Route 3 East
Suite 107
Secaucus, NJ 07094-3857
Mailing address
211 Darwin Ave
Rutherford, NJ 07070-1306
Phone (201) 330-3335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6956700 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1355 Broad St
Clifton, NJ 07013-4221
Phone (973) 778-5566
557 Broad St
Bloomfield, NJ 07003-2885
Phone (973) 680-8300
622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| Central Jersey Emergency Medicine Associates, PC | Current | Accepting new patients | |
| SKR Medical Advisors | Current | Accepting new patients | |
| The Radiology Group of New Jersey, LLC | Past | Accepting new patients | |
| Hogarth Emergency Physicians | Past | Accepting new patients |
Locations
557 Broad St
Bloomfield, NJ 07003
Phone (973) 680-8300
1355 Broad St
Clifton, NJ 07013
Phone (973) 778-5566
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839
2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360
Interoperability endpoints
- yhannallah865572@ahs.direct-ci.com
- yhannallah425171@direct.ahsys.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1538106257
-
- Urgent Care Clinic/Center
- Lyndhurst, NJ
- NPI 1184971558
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1770532343
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207440000000",
"number": "1760424378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 DARWIN AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701306",
"telephone_number": "201-330-3335",
"fax_number": "201-330-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 ROUTE 3 EAST",
"address_2": "SUITE 107",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943857",
"telephone_number": "201-330-3335",
"fax_number": "201-330-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNALLAH",
"first_name": "YOUSSEF",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2008-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06231700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6956700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.