Amjad H. Alwaal, MD
Individual provider Active NPI Urology Physician · Huntington, WV
NPI 1194153825 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1194153825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 28042 (WV)
- Practice address
- 1115 20TH St Ste 107
Huntington, WV 25703-0003 - Phone
- (304) 691-1900
- Fax
- (304) 691-1929
- NPI assigned
- Oct 15, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kessler Professional Services LLC
Barnabas Health Medical Group PC
University Physician Associates of New Jersey Inc
Practice addresses (Care Compare)
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone (973) 731-3600
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (888) 724-7123
30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-0037
Hospital & facility affiliations
- The University Hospital
- Trinitas Regional Medical Center
- Jersey City Medical Center
- Cooperman Barnabas Medical Center
- Kessler Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 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 |
|---|---|---|---|---|
| I20210319000095 | NJ | Practitioner - Urology | 8224251038 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099931 | MI | MD | Urology Physician |
| 25MA11001500 | NJ | MD | Urology Physician |
| 28042 | WV | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Urology | Current |
Accepting new patients |
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Trinitas Physicians Practice, LLC | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current |
Accepting new patients | |
| Kessler Professional Services LLC | Current |
Accepting new patients | |
| Atlanticare Physician Group PA | Current |
Accepting new patients | |
| Barnabas Health Medical Group PC | Current |
Accepting new patients |
Locations
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
240 Williamson St
Ste 504
Elizabeth, NJ 07202
Phone (908) 994-5187
240 Williamson St
Ste 503
Elizabeth, NJ 07202
Phone (908) 282-2000
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Interoperability endpoints
- amjad.alwaal@marshall.cernerdirect.com
- amjad.alwaal.1@3830.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301099931 | MI | |
| Urology Physician | 208800000X | 25MA11001500 | NJ | |
| Urology Physician | 208800000X | 28042 | WV | Yes |
Addresses
Primary practice location
1115 20TH St Ste 107
Huntington, WV 25703-0003
Mailing address
1249 15TH St Ste 4093
Huntington, WV 25701-3662
Other practice location 1
1600 Divisadero Street, Suite A609
UCSF Department of Urology
San Francisco, CA 94115
Phone (415) 885-7748
Other providers in Huntington, WV
- Andrea Alonso
- Henin Alsamarraie
- Mohamed Alshal
- Amro Basim Aref Altarawneh
- Tala Basim Aref Altarawneh
- Alhasan Saleh Alzubi
- Alicia Marie Amado
- Tamra Aman
- Alyssa Louise Amato
- Nadia Ambarsom
All providers in Huntington, WV · Urology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. 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.