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AHMED MANSOUR NP
NPI 1760250757
Nurse Practitioner - Gerontology in Hackensack, NJ

Active since December 19, 2023PECOS Enrolled
20 PROSPECT AVE STE 406, HACKENSACK, NJ 07601(551) 996-2608 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahmed Mansour Np NPPES

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

AHMED MANSOUR NP (NPI 1760250757) is an individual gerontology provider in Hackensack, New Jersey, licensed in New Jersey (26NR25092600) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tobyhanna.

NPPES Registry Identity

NPI1760250757
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameAHMED MANSOURCredential: NP
Location Address20 PROSPECT AVE STE 406Hackensack, NJ 07601-1941
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877
Phone(551) 996-2608
Sole ProprietorNo
Enumeration DateDecember 19, 2023
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1760250757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NR25092600
20 PROSPECT AVE STE 406, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 11335 Winding WayTobyhanna, PA 18466-3721 · Phone (570) 580-8603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Mansour Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Ahmed Mansour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SERUR M.D.
Internal Medicine (Nephrology)
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608
FU LUNG LUAN MD
Internal Medicine (Nephrology)
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608
REX MAGBANUA JR. APN
Nurse Practitioner (Gerontology)
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608
CHOLI HARTONO M.D.
Internal Medicine (Nephrology)
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608
JESSICA E SPIEGEL PA-C
Physician Assistant
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608
DR. ALEXEY ZENDEL MD
Transplant Surgery
20 PROSPECT AVE STE 406
HACKENSACK, NJ 07601
Bergen County (551) 996-2608

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 Ahmed Mansour's NPI number?

The NPI number for Ahmed Mansour is 1760250757. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Ahmed Mansour located?

Ahmed Mansour practices at 20 Prospect Ave Ste 406, Hackensack, NJ 07601. The listed phone number is (551) 996-2608.

What is Ahmed Mansour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ahmed Mansour enrolled in Medicare?

Yes. Ahmed Mansour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ahmed Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Mansour reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahmed Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ahmed Mansour was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.