Individual provider Active NPI

Wael Elkholy, MD, LAC

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
National Provider Identifier
1437240298
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA07057900 Issued in NJ
Practice address
1255 Whitehorse Mercerville Rd Ste 510
Hamilton, NJ 08619-3800
Phone
(732) 444-8888
Fax
(732) 515-4000
NPI assigned
Sep 27, 2006
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000736 NJ
Anesthesiology Physician 207L00000X 25MA07057900 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA07057900 NJ Primary

Addresses

Primary practice location

1255 Whitehorse Mercerville Rd Ste 510
Hamilton, NJ 08619-3800

Mailing address

127 Grayson Dr
Belle Mead, NJ 08502-4932
Phone (732) 762-6143

Other identifiers 2

IdentifierTypeStateIssuer
P01033195OtherNJRR MEDICARE
8237603MedicaidNJ

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
I20120213000113 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 5799942298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Pain and Spine Institute LLCGroup PAC ID 1254612591, 6 clinicians

Practice addresses (Care Compare)

1115 Clifton Ave
Clifton, NJ 07013-3641
Phone (732) 444-8888

1255 Whitehorse Mercerville Rd
Suite 510
Hamilton, NJ 08619-3800
Phone (732) 402-4300

1921 Oak Tree Rd
Suite 104
Edison, NJ 08820-2073
Phone (732) 444-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000736NJMDAcupuncturist
25MA07057900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Associates of New Jersey LLC Anesthesiology CurrentSince Sep 23, 2016 Accepting new patients
Interventional Pain and Spine Institute Inc Past Accepting new patients
Integrity Spinal Pain & Acupuncture, LLC PastSince Jun 13, 2012 Accepting new patients
Precision Spine & Sports Medicine PastSince Feb 2, 2020 Accepting new patients

Locations

1921 Oak Tree Rd
Ste 201
Edison, NJ 08820
Phone (732) 402-4300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1437240298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GRAYSON DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024932",
            "telephone_number": "732-762-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WHITEHORSE MERCERVILLE RD STE 510",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193800",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHOLY",
        "first_name": "WAEL",
        "credential": "MD, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "000736",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07057900",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA07057900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01033195",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8237603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.