Individual provider Active NPI

Georges A Ghacibeh, M.D.

  • Neurology Physician
  • Hackensack, NJ
National Provider Identifier
1851331680
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08232000 Issued in NJ
Practice address
381 Park St.
Suite 200
Hackensack, NJ 07601-4350
Phone
(201) 546-8510
Fax
(201) 957-7316
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 25MA08232000 NJ
Neurology Physician 2084N0400X ME84939 FL
Clinical Neurophysiology Physician 2084N0600X 25MA08232000 NJ
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 25MA08232000 NJ
Neurology Physician 2084N0400X 25MA08232000 NJ Primary

Addresses

Primary practice location

381 Park St.
Suite 200
Hackensack, NJ 07601-4350

Mailing address

381 Park St.
Suite 200
Hackensack, NJ 07601-4350
Phone (201) 546-8510

Other practice location 1

260 Old Hook Road
Suite 200
Westwood, NJ 07675
Phone (201) 546-8510

Other practice location 2

360 Essex St Ste 303
Hackensack, NJ 07601-8566
Phone (551) 996-8090

Other practice location 3

260 Old Hook Road
Suite 200
Westwood, NJ 07675
Phone (201) 546-8510

Other identifiers 2

IdentifierTypeStateIssuer
269611800MedicaidFL
0143731MedicaidNJ

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
I20071025000133 NJ Practitioner - NeurologyPractitioner - PsychiatryPractitioner - NeuropsychiatryPractitioner - Sleep Medicine 6103806633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry, Sleep Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Hackensack Epilepsy Center PCGroup PAC ID 6204184922, 5 clinicians

Practice addresses (Care Compare)

360 Essex St
Hackensack, NJ 07601-8550
Phone (201) 336-8686

6 Forest Ave
Suite 150
Paramus, NJ 07652-5245
Phone (201) 546-8510

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84939FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Epilepsy Center PC Neurology CurrentSince Jun 1, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 10, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 10, 2019 Accepting new patients
Progressive Neurology, PC Neurology CurrentSince Jan 1, 2012 Accepting new patients
Center for Neurocognitive Therapy, LLC Epilepsy CurrentSince Feb 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Neurology PastSince Aug 30, 2009 Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

360 Essex St
Ste 303
Hackensack, NJ 07601
Phone (551) 996-3091

381 Park St
Ste 200
Hackensack, NJ 07601
Phone (201) 546-8510

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

381 Park St
Ste 2B
Hackensack, NJ 07601
Phone (201) 968-5097

650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342

6 Forest Ave
Ste 150
Paramus, NJ 07652
Phone (201) 546-8510

260 Old Hook Rd
#200
Westwood, NJ 07675
Phone (201) 546-8509

Interoperability endpoints

  • Direct secure messaging: georges.ghacibeh@direct.hackensackmeridian.org
  • Direct secure messaging: gghacibeh189698@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: georges.ghacibeh.1@33177.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1851331680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 PARK ST.",
            "address_2": "SUITE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014350",
            "telephone_number": "201-546-8510",
            "fax_number": "201-957-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PARK ST.",
            "address_2": "SUITE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014350",
            "telephone_number": "201-546-8510",
            "fax_number": "201-957-7316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Old Hook Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "07675",
            "country_code": "US",
            "telephone_number": "201-546-8510",
            "fax_number": "201-503-8142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Essex St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076018566",
            "country_code": "US",
            "telephone_number": "551-996-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Old Hook Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "07675",
            "country_code": "US",
            "telephone_number": "201-546-8510",
            "fax_number": "201-503-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHACIBEH",
        "first_name": "GEORGES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NJ",
            "license": "25MA08232000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME84939",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA08232000",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NJ",
            "license": "25MA08232000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08232000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269611800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143731",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.