DR. HASSAN M ELMANSOURY (MD) – Specialist, NPI 1407076862

DR. HASSAN M ELMANSOURY (MD) is a healthcare provider. based in Fairfield, New Jersey. specializing in Specialist. They hold the professional credentials MD. They hold a License No. MA03379600 (NJ). The NPI Number for DR. HASSAN M ELMANSOURY (MD) is 1407076862

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. HASSAN M ELMANSOURY (MD)
NPI
1407076862
Phone
(973) 894-1263
Address
695 US HIGHWAY 46
Enumeration Date
26 April 2007
Last Update Date
9 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9738941263
Graduation Year
1973 (53 years ago)
PAC ID
0143489328
Group Practice PAC ID
6305068529
Professional Enrollment ID
I20120307000439
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. HASSAN M ELMANSOURY (MD)

  • 695 US HIGHWAY 46

    SUITE 400A

    FAIRFIELD, NJ 070041592

    Phone: (973) 894-1263

    Fax: (888) 972-3703

    Type: Location

  • PO BOX 4059

    WAYNE, NJ 074744059

    Phone: (973) 894-1263

    Fax: (888) 972-3703

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07004)

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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: 6305068529View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. HASSAN M ELMANSOURY (MD)?
NPI 1407076862 is assigned to DR. HASSAN M ELMANSOURY (MD) under the national enumeration system.
Is DR. HASSAN M ELMANSOURY (MD)'s NPI currently valid?
The extract we use shows DR. HASSAN M ELMANSOURY (MD) as active.
What field does DR. HASSAN M ELMANSOURY (MD) work in?
You can think of DR. HASSAN M ELMANSOURY (MD) as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is DR. HASSAN M ELMANSOURY (MD)'s primary listing?
We display Fairfield, New Jersey because that is what the record indicates for DR. HASSAN M ELMANSOURY (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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