HUSSAM ELTOUKHY
NPI 1356737324
Internal Medicine - Hematology in West Long Branch, NJ

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
100 HWY 36 STE 1B, WEST LONG BRANCH, NJ 07764(732) 222-1711 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2024, Apr 11, 2024, Jul 12, 2021 (3 updates tracked since 2021).

About Hussam Eltoukhy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUSSAM ELTOUKHY (NPI 1356737324) is an individual hematology provider in West Long Branch, New Jersey, licensed in New Jersey (25MA10838500) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1356737324
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameHUSSAM ELTOUKHY
Location Address100 HWY 36 STE 1BWest Long Branch, NJ 07764-1453
Mailing Address100 Hwy 36 Ste 1bWest Long Branch, NJ 07764-1453
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015
Enumeration DateApril 7, 2015
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1356737324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NJ · 25MA10838500
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10838500 (NJ)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 25MA10838500 (NJ)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 25MA10838500 (NJ)
100 HWY 36 STE 1B, West Long Branch, NJ 07764

Secondary Practice Location 1

Location 1150 Bergen St, UH-I248Newark, NJ 07103-2496 · Phone (973) 972-6056

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hussam Eltoukhy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395140073
PECOS Enrollment IDI20210818001565
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
546 services256 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
83 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services51 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hussam Eltoukhy's NPI number?

The NPI number for Hussam Eltoukhy is 1356737324. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Hussam Eltoukhy located?

Hussam Eltoukhy practices at 100 Hwy 36 Ste 1B, West Long Branch, NJ 07764. The listed phone number is (732) 222-1711.

What is Hussam Eltoukhy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Hussam Eltoukhy enrolled in Medicare?

Yes. Hussam Eltoukhy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hussam Eltoukhy accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hussam Eltoukhy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hussam Eltoukhy affiliated with any hospitals?

According to CMS data, Hussam Eltoukhy is affiliated with Community Medical Center, Monmouth Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Hussam Eltoukhy was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.