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Export Provider Record NPI 1053516765
Evelyne KalyoussefMD
Active
NPI Number1053516765
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1053516765
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-06-21
Last Updated2012-09-12
Mailing Address90 Bergen Street, Suite8100
Newark, NJ 07103
United States
Phone: (973) 972-4588
📍 View Map
Primary Practice Address90 Bergen Street, Suite8100
Newark, NJ 07103
United States
Phone: (973) 972-4588
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyNJ25MA09150700
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About NPI 1053516765

Evelyne Kalyoussef MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053516765. The primary specialty listed is Otolaryngology. The provider is located in Newark, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053516765?

NPI 1053516765 belongs to Evelyne Kalyoussef MD, a Otolaryngology in Newark, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053516765 active?

The current status of NPI 1053516765 in the NPPES registry is Active. The record was last updated on 2012-09-12.

What specialty is NPI 1053516765?

NPI 1053516765 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053516765?

You can verify NPI 1053516765 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053516765?

The primary practice address on file for NPI 1053516765 is 90 Bergen Street, Newark, NJ 07103. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053516765 issued?

NPI 1053516765 was first issued (enumerated) on 2007-06-21. The NPPES record was last updated on 2012-09-12.

Practice Location Map

Evelyne Kalyoussef is located at 90 Bergen Street, Newark, NJ. Use the map below to find directions or verify the practice location.

📍 90 Bergen Street, Newark, NJ 07103  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Evelyne Kalyoussef. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053516765. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology25MA09150700NJ
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162