DR. HASSAN M ELMANSOURY MD
NPI 1407076862
Specialist in Fairfield, NJ

Q: What is Hassan Elmansoury's NPI number?

The NPI number for Hassan Elmansoury is 1407076862. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Hassan Elmansoury's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Hassan Elmansoury was last updated on March 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2007PECOS Enrolled

695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004(973) 894-1263(888) 972-3703 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Hassan M Elmansoury Md NPPES

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

DR. HASSAN M ELMANSOURY MD (NPI 1407076862) is an individual specialist in Fairfield, New Jersey, licensed in New Jersey (MA03379600) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407076862

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HASSAN M ELMANSOURYCredential: MD

Location Address695 US HIGHWAY 46, SUITE 400AFairfield, NJ 07004-1592

Mailing AddressPo Box 4059Wayne, NJ 07474-4059 · (973) 894-1263 · Fax (888) 972-3703

Phone(973) 894-1263

Fax(888) 972-3703

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateMarch 9, 2016

✔ NPI 1407076862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · MA03379600

Definition

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.

695 US HIGHWAY 46, Fairfield, NJ 07004

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hassan M Elmansoury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.