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ISSAM F. MOUBARAK MD NPI 1639176084


NPI Information

NPI: 1639176084
Provider Name: ISSAM F. MOUBARAK, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
579A CRANBURY RD
UNIVERSITY RADIOLOGY GROUP, PC
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 390-0040
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Issam F. Moubarak, MD is a vascular and interventional radiology radiology in East Brunswick, NJ with 29 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Issam F. Moubarak, MD NPI is 1639176084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:1995

The provider's business location address is:

579A CRANBURY RD
UNIVERSITY RADIOLOGY GROUP, PC
EAST BRUNSWICK, NJ
ZIP 08816-426
Phone: (732) 390-0040
Fax: (732) 390-1856

The NPI 1639176084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ct scan chest (HCPCS:71250)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD070556LPENNSYLVANIANo
22085R0204XRadiologyVascular & Interventional RadiologyMD070556LPENNSYLVANIANo
32085R0202XRadiologyDiagnostic Radiology25MA06501100NEW JERSEYNo
42085R0204XRadiologyVascular & Interventional Radiology25MA06501100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103092940MEDICAIDNEW YORK
28132801MEDICAIDNEW JERSEY
3102213146-0001MEDICAIDPENNSYLVANIA
4133875D2YMEDICARE PINPENNSYLVANIA
5H08276MEDICARE UPIN
6034325MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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