Active NPI
Khalid Ali Elhussein, M.D.
- Emergency Medicine Physician
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA07671400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0043907 | Medicaid | NJ |
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
Enrollment records 1
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
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 100
- Quality
- 87.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07671400 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passaic River Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Passaic River Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| St. Joseph'S Emergency Physicians Inc | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care Plus PC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Hoboken, NJ
- NPI 1396858874
-
- Urgent Care Clinic/Center
- Freehold, NJ
- NPI 1285165209
-
- Emergency Medicine Physician
- Paterson, NJ
- NPI 1962162644
-
- Emergency Medical Services (Emergency Medicine) Physician
- Paterson, NJ
- NPI 1568791192
-
- Emergency Medicine Physician
- Wayne, NJ
- NPI 1124788807
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.