Individual provider Active NPI

Khalid Ali Elhussein, M.D.

  • Emergency Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1992898134
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA07671400 Issued in NJ
Practice address
5 Marine View PLZ Ste 101
Hoboken, NJ 07030-5756
Phone
(848) 308-4612
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07671400 NJ Primary

Addresses

Primary practice location

5 Marine View PLZ Ste 101
Hoboken, NJ 07030-5756

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792

Other identifiers 1

IdentifierTypeStateIssuer
0043907MedicaidNJ

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
I20040628000854 NJ Practitioner - Emergency Medicine 2062498207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care Plus PCGroup PAC ID 4385624162, 14 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 452-9700

5 Marine View PLZ
Suite 101
Hoboken, NJ 07030-5756
Phone (848) 308-4612

Merit-based Incentive Payment System (MIPS)

Final score
99.04 of 100Reported as group
Quality
87.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07671400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Oct 1, 2024 Accepting new patients
St. Joseph'S Emergency Physicians Inc CurrentSince Dec 20, 2015 Accepting new patients
Hackensack Meridian Urgent Care Plus PC CurrentSince Dec 7, 2024 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Oct 1, 2024 Accepting new patients
St. Joseph'S Healthcare, Inc. Past Accepting new patients

Locations

1 American Dream Way
Ste C147
East Rutherford, NJ 07073
Phone (201) 322-5585

111 James St
Edison, NJ 08820
Phone (732) 452-9700

5 Marine View Plz
Ste 101
Hoboken, NJ 07030
Phone (848) 308-4612

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1992898134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARINE VIEW PLZ STE 101",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305756",
            "telephone_number": "848-308-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHUSSEIN",
        "first_name": "KHALID",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07671400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.