Healthcare Provider Details

I. General information

NPI: 1083095707
Provider Name (Legal Business Name): JOSEPH YOUSSEF D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 RIVER RD
NORTH BERGEN NJ
07047-6217
US

IV. Provider business mailing address

7600 RIVER RD
NORTH BERGEN NJ
07047-6217
US

V. Phone/Fax

Practice location:
  • Phone: 201-854-5000
  • Fax:
Mailing address:
  • Phone: 201-845-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number00311130
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MB11220200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: