DR. HASSAN M ELMANSOURY (NPI# 1407076862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407076862 |
| Entity Type | Individual |
| Full Name | DR. HASSAN M ELMANSOURY |
| Credential | MD |
| Practice Address |
695 Us Highway 46 Suite 400a Fairfield NJ 07004-1592 |
| Mailing Address |
Po Box 4059 Wayne NJ 07474-4059 |
| Practice Telephone | 9738941263 |
| Practice Fax Number | 8889723703 |
| Mailing Telephone | 9738941263 |
| Mailing Fax Number | 8889723703 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA03379600 | NJ | Other Service Providers |
| Street Address |
695 US HIGHWAY 46 SUITE 400A |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406874 | Mary F Welsh | Surgery | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2005-09-07 |
| 1336648708 | Nancyann Cole | Physician Assistant | 695 Us Highway 46, Fairfield, NJ 07004-1592 | 2018-02-12 |
| 1932445285 | Barry A Cohen LLC | Surgery | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2012-12-13 |
| 1306122874 | Lynn Malanka | Nurse Practitioner | 695 Us Highway 46, Ste 400a, Fairfield, NJ 07004-1568 | 2011-10-28 |
| 1962787986 | Sweta G Dalsania | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-10-21 |
| 1881981348 | Petko Petkov Mitev | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-07-06 |
| 1982935987 | Luke R Carey | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2010-01-15 |
| 1205075470 | Ricki M Henry | Specialist | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2009-02-12 |
| 1023281664 | Carlo Opont | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2008-04-03 |
| 1972710366 | Luisa Guena | Specialist | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| 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 |
|---|---|---|---|---|
| 1477180511 | Ciara Hanna | Specialist | 3247 Congressional Cir, Fairfield, CA 94534-7869 | 2020-03-26 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1932594777 | Donna Alves | Specialist | 27 Green Knolls Ln, Fairfield, CT 06824-3509 | 2015-03-30 |
| 1619399847 | Nora Macias | Specialist | 617 Stonehenge Ct, Fairfield, CA 94534-4088 | 2014-01-07 |
| 1043582679 | Diane Michelle Dolch | Specialist | 1095 Magie Ave, Fairfield, OH 45014-1852 | 2012-01-27 |
| 1710262209 | Nicole Dunay Calloway | Specialist | 510 Reef Rd, Fairfield, CT 06824 | 2011-10-15 |
| 1073840096 | Christine Fisher | Specialist | 1891 Woolner Ave, Suite G, Fairfield, CA 94533-5868 | 2009-11-11 |
| 1407008634 | Tristan Bowley Dalisay | Specialist | 3175 Olympic Rd, Fairfield, CA 94534-8327 | 2008-10-21 |
| 1801085188 | Miami Valley Surgical Associates Inc. | Specialist | 1251 Nilles Rd Ste 17, Fairfield, OH 45014-7205 | 2007-10-23 |
| 1992901912 | Gilda C Richardson | Specialist | 740 Nilles Rd, Fairfield, OH 45014-3606 | 2007-06-26 |
| Find all providers in FAIRFIELD | ||||
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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.