Individual provider Active NPI

Jacob A Ouseph, M.D

  • Internal Medicine Physician
  • Suffern, NY
National Provider Identifier
1922274893
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258703 Issued in NY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000804 NY Practitioner - Internal Medicine 7911165147 Reassigns benefits to 3 organizations

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 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Physician Services PC CurrentSince Jan 15, 2020 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Feb 11, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jul 1, 2020 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Feb 11, 2020 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

  • Direct secure messaging: jao9058@direct.nyp.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.