Individual provider Active NPI

Mohammad W Younus, MD

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1942246194
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07533100 Issued in NJ
Practice address
Sullivan Way
Trenton Psychiatric Hospital
Trenton, NJ 08628
Phone
(609) 633-1502
Fax
(609) 587-4512
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 25MA07533100 NJ Primary

Addresses

Primary practice location

Sullivan Way
Trenton Psychiatric Hospital
Trenton, NJ 08628

Mailing address

Sullivan Way
Trenton Psychiatric Hospital
Trenton, NJ 08628
Phone (609) 633-1502

Other identifiers 2

IdentifierTypeStateIssuer
0049841MedicaidNJ
093270C2DOtherNJMEDICARE PROVIDER NUMBER

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
I20050222000598 NJ Practitioner - Internal Medicine 4688627466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07533100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Medical Associates P C Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1942246194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SULLIVAN WAY",
            "address_2": "TRENTON PSYCHIATRIC HOSPITAL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-633-1502",
            "fax_number": "609-587-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SULLIVAN WAY",
            "address_2": "TRENTON PSYCHIATRIC HOSPITAL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-633-1502",
            "fax_number": "609-587-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNUS",
        "first_name": "MOHAMMAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07533100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049841",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "093270C2D",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.