Individual provider Active NPI

Mahmoud Dakhel, MD

  • Body Imaging Physician
  • Newark, NJ
National Provider Identifier
1881644359
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
25MA08073200 Issued in NJ
Practice address
150 Bergen St # Streetc
Newark, NJ 07103
Phone
(973) 972-5188
Fax
(973) 972-2307
NPI assigned
May 12, 2006
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 25MA080873200 NJ
Nuclear Cardiology Physician 207UN0901X 25MA08073200 NJ
Nuclear Imaging & Therapy Physician 207UN0902X 25MA08073200 NJ
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 25MA08073200 NJ
Body Imaging Physician 2085B0100X 25MA08073200 NJ Primary
Neuroradiology Physician 2085N0700X 25MA08073200 NJ
Nuclear Radiology Physician 2085N0904X 25MA08073200 NJ
Pediatric Radiology Physician 2085P0229X 25MA088073200 NJ
Diagnostic Radiology Physician 2085R0202X 25MA08073200 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA08073200 NJ
Diagnostic Ultrasound Physician 2085U0001X 25MA08073200 NJ

Addresses

Primary practice location

150 Bergen St # Streetc
Newark, NJ 07103

Mailing address

30 Bergen St RM 1205
Newark, NJ 07107-3000

Other practice location 1

30 Bergen St # 121205
Newark, NJ 07107-3000
Phone (973) 972-0037

Other identifiers 1

IdentifierTypeStateIssuer
0133299MedicaidNJ

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
I20070924000034 NJ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 6103910096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900

30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA080873200NJMDNuclear Medicine Physician
25MA08073200NJMDBody Imaging Physician
25MA088073200NJMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
University Physician Associates of New Jersey Inc Nuclear Medicine Current Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Apr 22, 2019 Accepting new patients
University Physician Associates of New Jersey, Inc. CurrentSince Jun 20, 2017 Accepting new patients
Garden State Healthcare Associates, LLC Body Imaging CurrentSince Aug 1, 2016 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jun 20, 2017 Accepting new patients
University Physician Associates of New Jersey Inc Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Urology Specialty Care PA Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
#121205
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Ste 1205
Newark, NJ 07107
Phone (973) 972-0037

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Interoperability endpoints

  • Direct secure messaging: mahmoud.dakhel@direct.hobokenumc.md
  • Direct secure messaging: mdakhel191622@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1881644359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST RM 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST # STREETC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-5188",
            "fax_number": "973-972-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Bergen St # 121205",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071073000",
            "country_code": "US",
            "telephone_number": "973-972-0037",
            "fax_number": "973-972-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKHEL",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NJ",
            "license": "25MA080873200",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NJ",
            "license": "25MA088073200",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA08073200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133299",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.