Active NPI
Mahmoud Dakhel, MD
- Body Imaging Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 25MA08073200
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133299 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA080873200 | NJ | MD | Nuclear Medicine Physician |
| 25MA08073200 | NJ | MD | Body Imaging Physician |
| 25MA088073200 | NJ | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Professional Service Fund of Deborah Heart & Lung Center | Current | Accepting new patients | |
| University Physician Associates of New Jersey, Inc. | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Body Imaging | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | 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
- mahmoud.dakhel@direct.hobokenumc.md
- 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.
-
dba University Radiology Associates
- Diagnostic Radiology Physician
- Newark, NJ
- NPI 1316957913
Nuclear Medicine
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Body Imaging
-
- Diagnostic Radiology Physician
- Paterson, NJ
- NPI 1366428153
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Specialist
- Browns Mills, NJ
- NPI 1902852015
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba University Pathology Associates
- Blood Banking & Transfusion Medicine Physician
- Newark, NJ
- NPI 1871503474
-
dba University Radiation/Oncology Associates
- Radiation Oncology Physician
- Newark, NJ
- NPI 1558503797
-
- Radiation Oncology Physician
- Hackensack, NJ
- NPI 1326330366
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.