Healthcare Provider Details

I. General information

NPI: 1689466088
Provider Name (Legal Business Name): MESHIEL YOUSSEF-MORGAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 E CODDINGTON AVE
AVENEL NJ
07001-1917
US

IV. Provider business mailing address

4 E CODDINGTON AVE
AVENEL NJ
07001-1917
US

V. Phone/Fax

Practice location:
  • Phone: 908-764-0633
  • Fax:
Mailing address:
  • Phone: 908-764-0633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: