Individual provider Active NPI

Rose Ann Sameh Ghabour, MD

  • Family Medicine Physician
  • Somerset, NJ
National Provider Identifier
1770994386
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09996200 Issued in NJ
Practice address
84 Veronica Ave Ste B104
Somerset, NJ 08873-3529
Phone
(732) 992-6700
Fax
(732) 561-4228
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09996200 NJ Primary

Addresses

Primary practice location

84 Veronica Ave Ste B104
Somerset, NJ 08873-3529

Mailing address

2100 88TH St
BLG G 1a
North Bergen, NJ 07047
Phone (201) 588-1300

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
I20170922000846 NJ Practitioner - Family Practice 5193030781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians

Practice addresses (Care Compare)

731 Hwy 35
Unit G
Ocean, NJ 07712-4767
Phone (732) 455-8444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince May 9, 2018 Accepting new patients
Carbon Health Primary Care of New Jersey PA CurrentSince Jan 23, 2026 Accepting new patients
Central Jersey Urgent Care CurrentSince May 9, 2018 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Carbon Health Medical Group of New Jersey PA PastSince Dec 1, 2021 Accepting new patients

Locations

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 Highway 35
Ste G
Ocean, NJ 07712
Phone (732) 455-8444

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1770994386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 88TH ST",
            "address_2": "BLG G 1A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-588-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 VERONICA AVE STE B104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733529",
            "telephone_number": "732-992-6700",
            "fax_number": "732-561-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHABOUR",
        "first_name": "ROSE ANN",
        "middle_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09996200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.