Organization Active NPI

Nussbaum Medical Group PC

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1972472835
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NUSSBAUM MEDICAL GROUP PC
Practice address
689 Winthrop Rd
Teaneck, NJ 07666-2247
Phone
(347) 672-8397
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Yehuda Nussbaum, MDNPI 1871724351
Title
Owner
Phone
(347) 672-8397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

689 Winthrop Rd
Teaneck, NJ 07666-2247

Mailing address

689 Winthrop Rd
Teaneck, NJ 07666-2247
Phone (347) 672-8397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220003155 NJ Part B Supplier - Clinic/Group Practice 2668953316 Receives reassigned benefits from 2 practitioners
Practice locations: Cherry Hill, NJ; Teaneck, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1972472835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 WINTHROP RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662247",
            "telephone_number": "347-672-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 WINTHROP RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662247",
            "telephone_number": "347-672-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSSBAUM MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-672-8397",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.