Individual provider Active NPI

Sameh Elias, M.D.

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1417092172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA64145 Issued in NJ
Practice address
1610 Summit Ave
Union City, NJ 07087-1924
Phone
(201) 863-5696
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA64145 NJ Primary

Addresses

Primary practice location

1610 Summit Ave
Union City, NJ 07087-1924

Mailing address

3 Rubino Rd
West Caldwell, NJ 07006-8033
Phone (862) 223-9231

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000043 NJ Practitioner - Internal Medicine 3577507862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Care of Hudson County LLCGroup PAC ID 3072616085, 3 clinicians

Practice addresses (Care Compare)

142 Palisade Ave
Suite 218
Jersey City, NJ 07306-1108
Phone (201) 863-5696

1610 Summit Ave
Union City, NJ 07087-1924
Phone (201) 863-5696

3 Rubino Rd
West Caldwell, NJ 07006-8033
Phone (862) 223-9231

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64145NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care of Hudson County LLC Internal Medicine CurrentSince Jan 2, 1997 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

142 Palisade Ave
Ste 212
Jersey City, NJ 07306
Phone (201) 792-1555

1610 Summit Ave
Union City, NJ 07087
Phone (201) 863-5696

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417092172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RUBINO RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070068033",
            "telephone_number": "862-223-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871924",
            "telephone_number": "201-863-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA64145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.