St Luke Medical Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST LUKE MEDICAL SERVICES INC

Practice address

20 Hospital Dr Ste 18
Toms River, NJ 08755-6434

Phone

(732) 569-6166

Fax

(419) 273-0649

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Marina Elsabaawy, MDNPI 1043894306

Title

Owner

Phone

(732) 569-6166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Elsabaawy, MD

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1043894306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1083468110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-569-6166",
            "fax_number": "419-273-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-569-6166",
            "fax_number": "419-273-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ELSABAAWY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-569-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sportscare Institute, Inc.
• Robert Sprengel Jr., DPT
• Spring Oak of Toms River Alp LLC
• Sprouting Minds
• Aishwarya Sridhar
• Kelly St. Marie, MSN, FNP-C
• Michelle Stacey, LSW
• Kimberly Ann Stack, AGPCNP-BC
• Eric Philip Stander, M.D.
• Charles R. Stanfield, DC

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, 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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.