Individual provider Active NPI

George J Fahoury Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Shrewsbury, NJ
National Provider Identifier
1295872661
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01290 Issued in NJ
Practice address
655 Shrewsbury Ave
Suite 207
Shrewsbury, NJ 07702-4179
Phone
(732) 741-5500
Fax
(732) 741-5560
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01290 NJ Primary

Addresses

Primary practice location

655 Shrewsbury Ave
Suite 207
Shrewsbury, NJ 07702-4179

Mailing address

655 Shrewsbury Ave
Suite 207
Shrewsbury, NJ 07702-4179
Phone (732) 741-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000666 NJ Practitioner - Podiatry 6901957414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaview Orthopaedics and Medical Associates LLPGroup PAC ID 7810983210, 97 clinicians

Practice addresses (Care Compare)

1640 Route 88 W
Brick, NJ 08724-3068
Phone (732) 458-7866

655 Shrewsbury Ave
Suite 207
Shrewsbury, NJ 07702-4151
Phone (732) 741-5500

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue41
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01290NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jul 19, 2014 Accepting new patients
Parcells Plastic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jul 19, 2014 Accepting new patients
Frederick a. Depaola, MD, LLC Current Accepting new patients
Central Jersey Center for Foot & Ankle Surgery, LLC Foot & Ankle Surgery CurrentSince Aug 21, 1998 Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Ste 203
Brick, NJ 08724
Phone (732) 458-7777

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

222 Schanck Rd
Freehold, NJ 07728
Phone (732) 431-3373

2139 State Route 35
Ste 140
Holmdel, NJ 07733
Phone (732) 897-4800

1200 Eagle Ave
Ocean, NJ 07712

1131 Highway 35
Shrewsbury, NJ 07702
Phone (732) 389-3388

655 Shrewsbury Ave
Ste 207
Shrewsbury, NJ 07702
Phone (201) 281-6353

Interoperability endpoints

  • Direct secure messaging: george.fahoury@svo.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1295872661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 207",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-741-5500",
            "fax_number": "732-741-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 207",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-741-5500",
            "fax_number": "732-741-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHOURY",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.