Mina Effat Fransawy Alkomos, MD

Individual provider Active NPI Internal Medicine Physician · Paterson, NJ

NPI 1265995286 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1265995286
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
25MA11379200 (NJ)
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(917) 794-5890
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhospital Physicians Corp of New Jersey, PC (20 clinicians)

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital · Hackensack, NJ · CCN 310001
  • Select Specialty Hospital Northeast Long-term care hospital · Rochelle Park, NJ · CCN 312019

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 IDStateProvider typePAC IDDetails
I20220808001233 NJ Practitioner - Internal Medicine 7214319268 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC Internal Medicine Current
since Oct 14, 2022
Accepting new patients
David Yakobashvili,MD,LLC Internal Medicine Current
since Jun 27, 2022
Accepting new patients
Ihpnj ER LLC Past Accepting new patients

Locations

201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11379200 NJ Yes

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

703 Main St
Paterson, NJ 07503-2621
Phone (917) 794-5890

Other identifiers

IdentifierTypeStateIssuer
NAOtherNA

Other providers in Paterson, NJ

All providers in Paterson, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.