Active NPI
Jacob A Ouseph, M.D
- Internal Medicine Physician
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 258703
- Practice address
- 255 Lafayette Ave
Suffern, NY 10901-4812 - Phone
- (845) 368-5000
- Fax
- (845) 368-5989
- NPI assigned
- May 1, 2008
- Last updated
- Jun 27, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 258703 | NY | Primary |
Addresses
Primary practice location
255 Lafayette Ave
Suffern, NY 10901-4812
Mailing address
6 Quail Hollow LN
West Nyack, NY 10994-2914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newburgh Physician Services PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
1 Wingate Way
Highland, NY 12528
Phone (845) 561-4400
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jao9058@direct.nyp.org
- jouseph190078@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
dba NewYork-Presbyterian Medical Group/Hudson Valley
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Physical Medicine & Rehabilitation Physician
- Tinton Falls, NJ
- NPI 1205268364
NY
-
dba Newyork-Presbyterian Medical Group/Hudson Valley
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1922274893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 QUAIL HOLLOW LN",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-368-5000",
"fax_number": "845-368-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUSEPH",
"first_name": "JACOB",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "258703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.