Haytham E Osman, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2734

Practice address

344 Grove St # 4047
Jersey City, NJ 07302-5923

Phone

(201) 282-7246

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Performance Monitoring Associates LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Jersey City, NJ
  • NPI 1962016683
  NPD Authorized official
• Pro Monitoring Associates LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Bayonne, NJ
  • NPI 1699231209
  NPD (past) Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1861958464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 4047",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923",
            "telephone_number": "201-282-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 4047",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923",
            "telephone_number": "201-282-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070021357",
            "country_code": "US",
            "telephone_number": "201-282-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "HAYTHAM",
        "middle_name": "E",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Ortiz
• Susan Ortiz
• Valerie J Ortiz
• Success Osaretin
• Joseph Osei
• Osteopathic Rehab Associates PC
• William Ott, MD
• Anroy Keston Ottley, M.D.
• Janine Antoniel Ottley, APN
• Babafemi Otuyelu, DC

• Electroneurodiagnostic Specialist/Technologist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Electroneurodiagnostic Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.