Individual provider Active NPI

Mokhtar Asaadi, M.D.

  • Specialist
  • West Orange, NJ
National Provider Identifier
1831250919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03116500 Issued in NJ
Practice address
101 Old Short Hills Rd
Suite #504
West Orange, NJ 07052-1000
Phone
(973) 731-7000
Fax
(973) 731-8656
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03116500 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
Suite #504
West Orange, NJ 07052-1000

Mailing address

101 Old Short Hills Rd
Suite #504
West Orange, NJ 07052-1000
Phone (973) 731-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03116500NJMDSpecialist

Interoperability endpoints

  • Direct secure messaging: masaadi67924@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831250919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE #504",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-731-7000",
            "fax_number": "973-731-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE #504",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-731-7000",
            "fax_number": "973-731-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAADI",
        "first_name": "MOKHTAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03116500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.