DR. JAN SAMIR YOUSSEF (NPI# 1386680635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386680635 |
| Entity Type | Individual |
| Full Name | DR. JAN SAMIR YOUSSEF |
| Credential | M.D. |
| Practice Address |
115 Franklin Ave Nutley NJ 07110-2924 |
| Practice Telephone | 9737739250 |
| Practice Fax Number | 9737739525 |
| Mailing Telephone | 9737739250 |
| Mailing Fax Number | 9737739525 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA07328900 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0037109 | 05 |
| Street Address |
115 FRANKLIN AVE |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187142 | Jessica Jane Sullivan | Physician Assistant | 115 Franklin Ave, Nutley, NJ 07110-2924 | 2018-09-12 |
| 1093210700 | Laura M Matlin | Audiologist | 115 Franklin Ave, Nutley, NJ 07110-2924 | 2018-03-26 |
| 1659680775 | Sinus & Dental Imaging Center of Nj | Clinic/Center | 115 Franklin Ave, Nutley, NJ 07110-2924 | 2010-10-07 |
| 1821276478 | Ear, Nose & Throat Center of Nj | Otolaryngology | 115 Franklin Ave, Nutley, NJ 07110-2924 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239109 | Michele Traina | Specialist | 12 Humbert St Fl 1, Nutley, NJ 07110-1911 | 2020-03-09 |
| 1043571185 | Denise Ballou | Specialist | 136 Centre St, Nutley, NJ 07110-2828 | 2012-06-05 |
| 1598780991 | Dominick Ligresti I | Specialist | 175 Franklin Ave Ste 103, Nutley, NJ 07110-2973 | 2006-07-13 |
| 1306267927 | Contemporary Diagnostic Imaging, LLC | Specialist | 85 Franklin Ave, Nutley, NJ 07110-3273 | 2013-12-27 |
| 1568801850 | Tempo Music Therapy Services | Specialist | 145 Vreeland Ave, Nutley, NJ 07110-1618 | 2013-06-19 |
| 1548395304 | Femino-ducey-queler Orthopaedic Group | Specialist | 45 Franklin Ave, Nutley, NJ 07110-3224 | 2007-02-22 |
| 1265462733 | Stephen Ducey | Specialist | 45 Franklin Ave, Nutley, NJ 07110-3224 | 2006-07-03 |
| 1487683645 | Frank Femino | Specialist | 45 Franklin Ave, Nutley, NJ 07110-3224 | 2006-07-01 |
| 1235189630 | Howard B Groder | Specialist | 181 Franklin Ave, Nutley, NJ 07110-3820 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.