BRYAN J MASSOUD (NPI# 1780646232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780646232 |
| Entity Type | Individual |
| Full Name | BRYAN J MASSOUD |
| Credential | MD |
| Practice Address |
85 Harristown Rd Suite 103 Glen Rock NJ 07452-3329 |
| Practice Telephone | 8443668800 |
| Practice Fax Number | 8443668900 |
| Mailing Telephone | 8443668800 |
| Mailing Fax Number | 8443668900 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2016-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA063096 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7601301 | 05 |
| Street Address |
85 HARRISTOWN RD SUITE 103 |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477956 | Almerindo G. Portfolio Jr. | Ophthalmology | 85 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3329 | 2005-06-15 |
| 1760933576 | Group Orthopedics LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-10-17 |
| 1235687401 | Orthopedic Associates of New Jersey | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-09-16 |
| 1801266275 | Sovereign Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 85 Harristown Rd, Suite 101, Glen Rock, NJ 07452-3329 | 2015-09-29 |
| 1609271295 | Oasis Medical and Surgical Wellness Group LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 | 2014-10-26 |
| 1821498973 | Med-surg Durables LLC | Durable Medical Equipment & Medical Supplies | 85 Harristown Rd, Glen Rock, NJ 07452-3307 | 2014-08-26 |
| 1275940306 | Orthopaedic Associates of Fair Lawn, LLC | Orthopaedic Surgery | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2014-07-21 |
| 1922419654 | Med-surg Practitioners, LLC | Physician Assistant | 85 Harristown Rd, Suite 201, Glen Rock, NJ 07452-3307 | 2014-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| 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 |
|---|---|---|---|---|
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1659466241 | Allyn A Sison | Specialist | 266 Harristown Rd Ste 304, Glen Rock, NJ 07452-3321 | 2006-10-03 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| 1760933576 | Group Orthopedics LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-10-17 |
| 1235687401 | Orthopedic Associates of New Jersey | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-09-16 |
| 1609271295 | Oasis Medical and Surgical Wellness Group LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 | 2014-10-26 |
| 1063675429 | Philip J. Aretsky, Md Pa | Specialist | 385 S Maple Ave, Glen Rock, NJ 07452-1543 | 2008-07-07 |
| 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 | ||||
Please comment or provide details below to improve the information on BRYAN J MASSOUD.
| 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.