Dr. Bryan J Massoud , MD
Specialist • Glen Rock, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bryan Massoud has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bryan Massoud, MD was a registered Specialist practicing in Glen Rock, NJ. Throughout an active medical career spanning 14 years, Dr. Massoud provided care at the practice location at 85 HARRISTOWN RD until profile deactivation on 2020-02-03.
Practice Location & Contact Primary Location
85 Harristown Rd
Suite 103
Glen Rock, NJ 074523329
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Glen Rock, NJ
Practicing in Glen Rock, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Surgical
Physician Assistant (Certified)
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 03, 2020
NPI status registered as active in NPPES database
Registered at 85 HARRISTOWN RD, SUITE 103, GLEN ROCK, NJ 074523329 (Tel: 8443668800)
Registered at 85 HARRISTOWN RD, SUITE 103, GLEN ROCK, NJ 074523329 (Tel: 8443668800)
Recorded as BRYAN MASSOUD, MD
Specialist (License #MA063096 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
85 Harristown Rd, Suite 103
Glen Rock, NJ 074523329
Phone: 8443668800
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