NPIMap

Individual provider Active NPI

Emad Remond Rizkala, M.D.

  • Urology Physician
  • Freehold, NJ
National Provider Identifier
1255637146
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA09497400 Issued in NJ
Practice address
501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305
Phone
(732) 780-7603
Fax
(732) 308-3323
NPI assigned
Feb 10, 2011
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 269765 NY
Urology Physician 208800000X 35.097157 OH
Urology Physician 208800000X 25MA09497400 NJ Primary

Addresses

Primary practice location

501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

23 Kilmer Dr
Building 1, suite C
Morganville, NJ 07751-1563
Phone (732) 972-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erizkala10001@njurology.direct-ci.com New Jersey Urology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915001608 NJ Practitioner - Urology 3173795630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.097157OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Dec 1, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Integrated Medical Professionals PLLC Urology Past Accepting new patients
Urology Consultants PA Urology Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 873-7000

501 Iron Bridge Rd
Ste 5
Freehold, NJ 07728
Phone (732) 780-7603

733 N Beers St
Ste L6
Holmdel, NJ 07733
Phone (732) 739-2200

2 Princess Rd
Ste 2J
Lawrenceville, NJ 08648
Phone (609) 895-1991

2 Hospital Plz
Ste 110
Old Bridge, NJ 08857
Phone (732) 972-9000

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

Interoperability endpoints

  • Direct secure messaging: erizkala10001@njurology.direct-ci.com
  • Direct secure messaging: erizkala425417@direct.ahsys.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1255637146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-780-7603",
            "fax_number": "732-308-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Kilmer Dr",
            "address_2": "Building 1, suite C",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077511563",
            "country_code": "US",
            "telephone_number": "732-972-9000",
            "fax_number": "732-972-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZKALA",
        "first_name": "EMAD",
        "middle_name": "REMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "269765",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.097157",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA09497400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erizkala10001@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.