Mohamed Elsayed Elsamra

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15292800 Issued in NJ

Practice address

206 Bergen Ave Ste 207
Kearny, NJ 07032-3387

Phone

(631) 534-7246

NPI assigned

Mar 20, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Daniel Korya MD LLCGroup PAC ID 8820339310, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel Korya MD LLC

  • Neurology Physician
  • Secaucus, NJ
  • NPI 1427512722
  Medicare reassignment Care Compare group NPD
• Pulse Vascular, LLC

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
  • NPI 1255899704
  Medicare reassignment Care Compare group NPD
• Radius Telemed, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1821618968
  NPD
• Ask Health, PA

  • Neurology Physician
  • Tampa, FL
  • NPI 1396457321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1023819679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-20 3RD ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101151",
            "telephone_number": "862-247-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE STE 207",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323387",
            "telephone_number": "631-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAMRA",
        "first_name": "MOHAMED",
        "middle_name": "ELSAYED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15292800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesam El Shafee, D.M.D
• Elevate Dental LLC
• Elenita Elias
• Mariam Elias, OD
• Elizabeth Noboa Dentista Familiar PC
• Emad Jacob, MD PC
• Emergency Associates of Kearny, P.a.
• Oyenike O. Emiola, PMHNP- BC
• Endeavor House North
• Endeavor House North

• Family Nurse Practitioner in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.