Individual provider Active NPI

Mamdouh Salah Fathalla Abdou Elshekh

  • Pharmacist
  • East Rutherford, NJ
National Provider Identifier
1336098409
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04480800 Issued in NJ
Practice address
140 Hackensack St Apt 233
East Rutherford, NJ 07073-1538
Phone
(347) 438-5366
NPI assigned
Jan 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28RI04480800 NJ Primary

Addresses

Primary practice location

140 Hackensack St Apt 233
East Rutherford, NJ 07073-1538

Mailing address

140 Hackensack St Apt 233
East Rutherford, NJ 07073-1538
Phone (347) 438-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI04480800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1336098409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HACKENSACK ST APT 233",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731538",
            "telephone_number": "347-438-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HACKENSACK ST APT 233",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731538",
            "telephone_number": "347-438-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHEKH",
        "first_name": "MAMDOUH",
        "middle_name": "SALAH FATHALLA ABDOU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04480800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.