Individual provider Active NPI

Karim Elsayed

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1053278663
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NR22944400 Issued in NJ
Practice address
550 Mayor Gibson Blvd Ste 606
Newark, NJ 07102-4537
Phone
(201) 822-1161
NPI assigned
Jan 6, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NR22944400 NJ Primary

Addresses

Primary practice location

550 Mayor Gibson Blvd Ste 606
Newark, NJ 07102-4537

Mailing address

75 Fisher Dr
Franklin Park, NJ 08823-1349
Phone (201) 290-3489

Other practice location 1

80 Conover Rd
Marlboro, NJ 07746-1003
Phone (609) 469-1845

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260623003924 NJ Practitioner - Nurse Practitioner 9537632310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12821 County Rd
9 Lot 95
Foley, AL 36535

169 Madison Ave
New York, NY 10016-5101

2351 The by Way
Morrow, GA 30260-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR22944400NJMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1053278663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FISHER DR",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231349",
            "telephone_number": "201-290-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAYOR GIBSON BLVD STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024537",
            "telephone_number": "201-822-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Conover Rd",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "077461003",
            "country_code": "US",
            "telephone_number": "609-469-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "KARIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR22944400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.