NPIMap

Individual provider Active NPI

Emad Adly Fakhoury Barsoum, MD

  • Interventional Cardiology Physician
  • Plainfield, NJ
National Provider Identifier
1922313907
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA10590000 Issued in NJ
Practice address
1314 Park Ave Ste 9
Plainfield, NJ 07060-3253
Phone
(908) 222-8970
Fax
(908) 222-8762
NPI assigned
Aug 13, 2010
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 275918 NY
Cardiovascular Disease Physician 207RC0000X 25MA10590000 NJ
Interventional Cardiology Physician 207RI0011X 25MA10590000 NJ Primary
Hospitalist Physician 208M00000X 275918 NY

Addresses

Primary practice location

1314 Park Ave Ste 9
Plainfield, NJ 07060-3253

Mailing address

1314 Park Ave Ste 9
Plainfield, NJ 07060-3253
Phone (908) 222-8970

Other practice location 1

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Other practice location 2

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-9000

Other identifiers 1

IdentifierTypeStateIssuer
03921822MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526000104 NJ Practitioner - Cardiovascular Disease (Cardiology) 9032339460 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

67 Rte 37
Suite 200a Riverwood I
Toms River, NJ 08755-6400
Phone (732) 608-9737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10590000NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Community Hospital Group Inc Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 13, 2023 Accepting new patients
HMH Hospitals Corporation Interventional Cardiology CurrentSince Mar 1, 2022 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Oct 20, 2021 Accepting new patients
HMH Hospitals Corporation CurrentSince Mar 1, 2022 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Nov 13, 2023 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

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

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1314 Park Ave
Ste 9
Plainfield, NJ 07060
Phone (908) 222-8970

67 Route 37 W
Ste 200A
Toms River, NJ 08755
Phone (732) 608-9737

Interoperability endpoints

  • Direct secure messaging: ebarsoum59054@epicdirect.rwjbh.org
  • Direct secure messaging: emad.barsoum@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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 5

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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922313907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE STE 9",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603253",
            "telephone_number": "908-222-8970",
            "fax_number": "908-222-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE STE 9",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603253",
            "telephone_number": "908-222-8970",
            "fax_number": "908-222-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 Spring Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125723709",
            "country_code": "US",
            "telephone_number": "845-876-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10305",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "EMAD",
        "middle_name": "ADLY FAKHOURY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275918",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10590000",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA10590000",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "275918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03921822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.