Maged Mahmoud Ghanem, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD432272 Issued in PA

Practice address

232 W 25TH St
Erie, PA 16544-0002

Phone

(814) 452-5980

Fax

(824) 452-5039

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, OH, NJ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052
• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Plover Inpatient Services LLC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1134534688
  Medicare reassignment Care Compare group
• Lake Erie Medical Group PC

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1053696997
  Medicare reassignment NPD
• Ashtabula County Medical Center

  • Specialist
  • Ashtabula, OH
  • NPI 1942247143
  Medicare reassignment NPD
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1639303159
  Medicare reassignment NPD
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Vineland, NJ
  • NPI 1013141423
  NPD
• Erie Physicians Network PC

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1902844574
  NPD (past)

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

• HMH Hospitals Corporation

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306854948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644850",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152644850",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-5980",
            "fax_number": "824-452-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 State Route 35",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331090",
            "country_code": "US",
            "telephone_number": "609-890-1050",
            "fax_number": "609-890-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "MAGED",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001983676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1983676",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Gervase, MSN, APRN, FNP-C
• Katherine Getty, CRNP
• Ggnsc Erie II LP
• Ggnsc Erie Western Reserve LP
• Mindy Ghaemaghamy-Harris, LSW
• Romeo Ghano
• Elaine Ghazinour
• Pratiti Ghosh Dastidar, MD
• Arindam Ghosh, D.O.
• Shmyle Ghumman

• Internal Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.