NPIMap

Individual provider Active NPI

Elie Mansour, MD FCCP

  • Pulmonary Disease Physician
  • Holmdel, NJ
National Provider Identifier
1356314280
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA06557 Issued in NJ
Practice address
719 North Beers Street
Suites 2E and 2F
Holmdel, NJ 07733
Phone
(732) 264-1001
Fax
(732) 264-4495
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06557 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA06557 NJ
Pulmonary Disease Physician 207RP1001X 25MA06557 NJ Primary

Addresses

Primary practice location

719 North Beers Street
Suites 2E and 2F
Holmdel, NJ 07733

Mailing address

719 North Beers Street
Suites 2E and 2F
Holmdel, NJ 07733
Phone (732) 264-1001

Other identifiers 1

IdentifierTypeStateIssuer
8235104MedicaidNJ

Other names 1

  • Dr. Elie Mansour Professional name

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
I20111128000286 NJ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4880867910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Jersey Pulmonary and Medical Associates, LLCGroup PAC ID 1557326360, 2 clinicians

Practice addresses (Care Compare)

719 N Beers St
Suites 2 E F
Holmdel, NJ 07733-1522
Phone (732) 264-1001

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score
90.36 of 100Reported as group
Improvement activities
40
Cost
80.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06557NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Cardiovascular Institute LLC CurrentSince Oct 3, 2023 Accepting new patients
Cardio Pulmonary Diagnostic LLC Pulmonary Disease CurrentSince Oct 3, 2023 Accepting new patients
Central Jersey Pulmonary & Medical Associates, LLC Internal Medicine CurrentSince May 1, 2001 Accepting new patients
House Physician Partners, PC Past Accepting new patients
Critical Care Consultants of New Jersey LLC Critical Care Medicine PastSince May 15, 2002 Accepting new patients
Institute for Better Breathing PC Pulmonary Disease Past Accepting new patients

Locations

216 Palmer St
Elizabeth, NJ 07202
Phone (908) 352-4477

719 N Beers St
Ste 2E
Holmdel, NJ 07733
Phone (732) 264-1001

1255 Route 70
Ste 12S
Lakewood, NJ 08701
Phone (732) 987-9676

1265 Paterson Plank Rd
Ste 2E
Secaucus, NJ 07094
Phone (201) 216-3055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HICEAD/Endpoint/HICEAD

Organizations & group practices 6

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 7

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1356314280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NORTH BEERS STREET",
            "address_2": "SUITES 2E AND 2F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-264-1001",
            "fax_number": "732-264-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 NORTH BEERS STREET",
            "address_2": "SUITES 2E AND 2F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-264-1001",
            "fax_number": "732-264-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "MD FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06557",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA06557",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA06557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8235104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIE",
            "last_name": "MANSOUR",
            "prefix": "DR.",
            "credential": "MD FCCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.