Islam M Elfayoumi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08506700 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4000

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• House Physician Partners, PC

  • Hospitalist Physician
  • Teaneck, NJ
  • NPI 1457377806
  Medicare reassignment NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment
• Polymath Medical, LLC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1255600094
  Authorized official Same address or phone
• Emergency Medical Consultants of South Jersey LLC

  • Hospitalist Physician
  • East Orange, NJ
  • NPI 1659523264
  NPD (past)
• Jema Physicians' Services, L.L.C.

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1003861675
  NPD (past)
• Cogent Healthcare of Fort Myers, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1952352163
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1063450591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LINCOLN ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721414",
            "telephone_number": "732-986-4965",
            "fax_number": "201-507-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAYOUMI",
        "first_name": "ISLAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95068",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08506700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197769",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275330800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52550",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00471993",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00765998",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00829446",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Eid, LCSW
• Eisenberger and Meister Orthodontics LLC (Eisenberger and Meister Orthodontics)
• Ifeyinwa Ekulide, M.D.
• Elaya Health Medical NJ PC
• Elensa Family Healthcare LLC.
• Lila Elhalawany, MA, BCBA
• Elite Rehabilitation Center of Passaic LLC
• Judith Elk
• Elliott Samet MD, PC
• Yasmine Elshenawi

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.