Philip Elgawli, D.O.
Individual provider Active NPI Family Medicine Physician · Elmer, NJ
NPI 1124058102 · NPPES record last updated Mar 13, 2013
Key facts
- NPI
- 1124058102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB07793200 (NJ)
- Practice address
- 475 Route 40
Elmer, NJ 08318-2532 - Phone
- (856) 358-0770
- Fax
- (856) 358-0108
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elmer Family Practice,PC
Practice addresses (Care Compare)
475 Route 40
Elmer, NJ 08318-2532
Phone (856) 358-0770
Hospital & facility affiliations
- Bayada at Inspira, Home Health and Hospice
- Holy Redeemer Home Care NJ South
- Inspira Medical Center Mullica Hill
- Inspira Medical Center Vineland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061215000412 | NJ | Practitioner - Family Practice | 7416956669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07793200 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmer Family Practice,PC | Family Medicine | Current |
Accepting new patients |
Locations
475 Route 40
Elmer, NJ 08318
Phone (850) 358-0770
330 Front St
Elmer, NJ 08318
Phone (609) 358-0770
Interoperability endpoints
- philip.elgawli@efp.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB07793200 | NJ | Yes |
Addresses
Primary practice location
475 Route 40
Elmer, NJ 08318-2532
Mailing address
PO Box 577
Elmer, NJ 08318-0577
Phone (856) 358-0770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151246 | Medicaid | NJ |
Other providers in Elmer, NJ
- Centerton Family Practice, LLC
- Alexandera K Clarke
- Comfort ABA
- Lindsay Anne Dauphinee
- Brittany Davis
- Elmer Ambulance Corps., Inc.
- Elmer Family Practice,PC
- Elmer OBGYN Associates
- Elmer Pediatrics
- Destinay Erbie
All providers in Elmer, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.