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Deactivated NPI 1699743906 Deactivated / Inactive NPI Male Practitioner

Dr. Alexander M. Panossian , MD

Urology • Paramus, NJ

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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. Alexander Panossian has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 10, 2006
NPI Deactivation Date January 29, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Panossian, MD was a registered Urology practicing in Paramus, NJ. Throughout an active medical career spanning 20 years, Dr. Panossian provided care at the practice location at 230 E RIDGEWOOD AVE until profile deactivation on 2026-01-29.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

230 E Ridgewood Ave
#6-204

Paramus, NJ 076524131

Telephone 2014476117
Fax 2014473638
Associated Practice Facility / Clinic
🏢 Eden Ambulance Corporation Facility NPI 1790738441

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Paramus, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Paramus, NJ (474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
10.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
21 14 $125.00 $99.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
15 13 $150.00 $146.95

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA03259000

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Pajtesa Kukaj , MD

Student in an Organized Health Care Education/Training Program

NPI 1003438136

Doctor of Medicine (M.D.)

Dr. Sukaina Rizvi , MD

Student in an Organized Health Care Education/Training Program

NPI 1003438169

Doctor of Medicine (M.D.)

Dr. Erica Schiffman , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1013041631

Doctor of Medicine (M.D.)

Dr. Veronica Behman , DO

Student in an Organized Health Care Education/Training Program

NPI 1043059330

Doctor of Osteopathic Medicine (D.O.)

Christine Vivolo , PA

Physician Assistant - Surgical

NPI 1043089576

Physician Assistant

NPI 1043808058

DSW, Licensed Clinical Social Worker, Certified Hand Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 230 E RIDGEWOOD AVE, #6-204, PARAMUS, NJ 076524131 (Tel: 2014476117)

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Updated Business Mailing Address July 08, 2007

Registered at 204 HEMPSTEAD RD, RIDGEWOOD, NJ 074504810 (Tel: 2014476117)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ALEXANDER PANOSSIAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #25MA03259000 in NJ)

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Initial NPI Registration & Enumeration March 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699743906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2006
Last Update: July 08, 2007
Deactivation Date: January 29, 2026

Mailing Address

204 Hempstead Rd

Ridgewood, NJ 074504810

Phone: 2014476117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.