NEJEM AOUSADJ (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1396490330

NEJEM AOUSADJ (PHYSICIAN ASSISTANT) is a healthcare provider. based in Bridgeport, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 5586 (CT). The NPI Number for NEJEM AOUSADJ (PHYSICIAN ASSISTANT) is 1396490330

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NEJEM AOUSADJ (PHYSICIAN ASSISTANT)
NPI
1396490330
Phone
(203) 923-2204
Address
754 Clinton Ave
Enumeration Date
17 February 2022
Last Update Date
17 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2039165151
Graduation Year
2021 (5 years ago)
PAC ID
7012303563
Group Practice PAC ID
4284912957
Professional Enrollment ID
I20220408001554
Address ID
CT066062303BR4200XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for NEJEM AOUSADJ (PHYSICIAN ASSISTANT)

  • 754 Clinton Ave

    Bridgeport, CT 066042369

    Phone: (203) 923-2204

    Type: Location

  • 80 WEBER AVE APT 5

    BRIDGEPORT, CT 066103040

    Phone: (203) 583-5570

    Type: Mailing

  • 1918 BLACK ROCK TPKE

    FAIRFIELD, CT 068253543

    Phone: (203) 583-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: ABBVIE INC. ($181).

Total Amount

$218

General + Research + Ownership

Payments

14

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220408001554IPhysician AssistantCTTBD
I20250204000608IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes119111$0
99282Emergency department visit with straightforward medical decision making10199$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus7369$0
87804Detection test by immunoassay with direct visual observation for influenza virus5426$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 06604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284912957View full group profile

Reviews

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Frequently asked questions

Is there an official ID for NEJEM AOUSADJ (PHYSICIAN ASSISTANT) in U.S. healthcare records?
The official identifier for NEJEM AOUSADJ (PHYSICIAN ASSISTANT) is NPI 1396490330.
Active or inactive — what applies to NEJEM AOUSADJ (PHYSICIAN ASSISTANT)?
You should see NEJEM AOUSADJ (PHYSICIAN ASSISTANT) as active in CMS-hosted NPPES data.
What area of care is associated with NEJEM AOUSADJ (PHYSICIAN ASSISTANT)?
NEJEM AOUSADJ (PHYSICIAN ASSISTANT)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NEJEM AOUSADJ (PHYSICIAN ASSISTANT)?
Travel planning: use Bridgeport, Connecticut as the reference point for NEJEM AOUSADJ (PHYSICIAN ASSISTANT), then confirm.
When was this NPI issued?
Enumeration for NEJEM AOUSADJ (PHYSICIAN ASSISTANT) is noted as February 17, 2022 where the registry provides it.

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