Active NPI
Nader N. Ghaly, M.D.
- Clinical Cardiac Electrophysiology Physician
- Galloway, NJ
National Provider Identifier
1396777967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 25MA04856800
- Practice address
- 415 Chris Gaupp Drive
Suite C
Galloway, NJ 08205 - Phone
- (609) 748-7580
- Fax
- (609) 748-7574
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA04856800 | NJ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 25MA04856800 | NJ | Primary |
Addresses
Primary practice location
415 Chris Gaupp Drive
Suite C
Galloway, NJ 08205
Mailing address
415 Chris Gaupp Drive
Suite C
Galloway, NJ 08205
Phone (609) 748-7580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5038502 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04856800 | NJ | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Heart Group, PC | Past | Accepting new patients | |
| Lourdes Cardiology Services | Past | Accepting new patients | |
| Lourdes Cardiology Services, P.C. | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
| South Jersey Radiology Associates P a | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1417169772
-
- Cardiovascular Disease Physician
- Cherry Hill, NJ
- NPI 1912202557
Clinical Cardiac Electrophysiology
-
- Cardiovascular Disease Physician
- Cherry Hill, NJ
- NPI 1922090786
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1477551653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1396777967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CHRIS GAUPP DRIVE",
"address_2": "SUITE C",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "08205",
"telephone_number": "609-748-7580",
"fax_number": "609-748-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CHRIS GAUPP DRIVE",
"address_2": "SUITE C",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "08205",
"telephone_number": "609-748-7580",
"fax_number": "609-748-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALY",
"first_name": "NADER",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA04856800",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NJ",
"license": "25MA04856800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5038502",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galloway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.