BASSAM M HADDAD (M.D) – Nephrology Physician, NPI 1790784510

BASSAM M HADDAD (M.D) is a healthcare provider. based in Jersey city, New Jersey. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. MA03243600 (NJ). The NPI Number for BASSAM M HADDAD (M.D) is 1790784510

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
BASSAM M HADDAD (M.D)
NPI
1790784510
Phone
(201) 333-8222
Address
26 GREENVILLE AVE
Enumeration Date
14 July 2005
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2013338222
Graduation Year
1972 (54 years ago)
PAC ID
2860685955
Group Practice PAC ID
1052695137
Professional Enrollment ID
I20101021000642
Address ID
NJ073052608JE26XXXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
bassam.haddad.2@14360.direct.athenahealth.com
Secure Messaging
bhaddad35288@direct.acumenmd.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

473 NEPHROLOGY in NJ

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Provider Addresses for BASSAM M HADDAD (M.D)

  • 26, Greenville Avenue, Greenville, Jersey City, Hudson County, New Jersey, 07305, United States

    JERSEY CITY, NJ 073052608

    Phone: (201) 333-8222

    Fax: (201) 333-0095

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,079.

Total Amount is formed as General ($1,079) + Research ($0) + Ownership ($0) = $1,079.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($251).

Total Amount

$1,079

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,079

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2010-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101021000642INephrologyNJTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)11715$0
99214Established patient office or other outpatient visit, 30-39 minutes9541$0
99213Established patient office or other outpatient visit, 20-29 minutes4125$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3019$0
View full utilization report →

Insurance plans in this area (ZIP 07305)

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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: 1052695137View full group profile
NameSpecialtyState
Nephrology, Internal MedicineNJ
Nurse PractitionerNJ
N E P H R O L O G YFL
Nephrology, Internal MedicineNY
-NJ
Nurse PractitionerNJ
N E P H R O L O G YNJ
Nurse PractitionerNJ
Internal Medicine, NephrologyNJ

Reviews

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Frequently asked questions

Can I verify BASSAM M HADDAD (M.D) with an NPI only?
You can start verification with NPI 1790784510 for BASSAM M HADDAD (M.D), then check state licensing separately.
Is BASSAM M HADDAD (M.D) listed as active for patients and plans?
The listing shows BASSAM M HADDAD (M.D) as active in the NPI system.
What is BASSAM M HADDAD (M.D) best known for clinically?
Directory data describes BASSAM M HADDAD (M.D) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BASSAM M HADDAD (M.D)?
BASSAM M HADDAD (M.D)'s geographic hint is Jersey City, New Jersey in our summary view.
Why does BASSAM M HADDAD (M.D) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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