Nour El Houda Elassa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB11157300 Issued in NJ

Practice address

477 Broadway
Bayonne, NJ 07002-4797

Phone

(551) 214-3980

Fax

(551) 214-3879

NPI assigned

Mar 28, 2018

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cadoo Medical PC

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1528626488
  Medicare reassignment

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1811492275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "443-621-7358",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024797",
            "telephone_number": "551-214-3980",
            "fax_number": "551-214-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASSA",
        "first_name": "NOUR",
        "middle_name": "EL HOUDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11157300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akesha Edwards
• Raashida M Edwards, DSW, LCSW
• Safaa Eid
• Jacqueline B Eissa, PHARMACIST
• Heba Elabasiri
• Manar Eldeeb
• Elemental Eyecare LLC
• Samah Eliwa
• Sherif Mohamed Elkattawy, DO
• Barry M Elkind, M.D

• Family Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.