Nibal Ahmad Zaghloul, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

25MA08840100 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-6674

Fax

(732) 418-9708

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nibal.ahmad.zaghloul.1@8568.direct.athenahealth.com
• Direct secure messaging: nibal.ahmad.zaghloul.2@8568.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Saint Peter's Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  Medicare reassignment NPD
• Saint Peter's Specialty Physicians, P.C.

  • Gastroenterology Physician
  • Lakewood, NJ
  • NPI 1861894982
  Medicare reassignment NPD
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• Saint Peter's University Hospital

  dba Saint Peter's Behavioral Health Group

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1447251764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-6674",
            "fax_number": "732-418-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-6674",
            "fax_number": "732-418-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGHLOUL",
        "first_name": "NIBAL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "OH",
            "license": "35086391",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NJ",
            "license": "25MA08840100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259144",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA08840100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Yurchenco
• Lisa Yuschak, PT
• Joan E Zaccardi, APRN, BC
• Philip Navin Zachariah
• Amna Zafar, M.D.
• Raisa Subaita Zahir, MD
• Asim Raza Zaidi, DMD
• Hasan Zaidi, MD
• Hasan Raza Zaidi, DDS, MS
• Nada Zaki, PHARMD

• Pediatric Hematology & Oncology Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Pediatric Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.