Elmwood Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELMWOOD FAMILY PHYSICIANS

Practice address

777 Route 70 East
Suite G-101
Marlton, NJ 08053-2345

Phone

(856) 983-9939

Fax

(856) 983-9936

NPI assigned

Nov 1, 2006

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hetal S Shah, M.D.NPI 1497784094

Title

Owner/M.D.

Phone

(856) 983-9939

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hetal S Shah, M.D.

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1497784094
  Medicare reassignment Care Compare group NPD Authorized official
• Jay D Patel, M.D.

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1639256696
  Medicare reassignment Care Compare group NPD
• Parag S Patel, M.D.

  • Family Medicine Physician
  • Hammonton, NJ
  • NPI 1689751646
  Medicare reassignment Care Compare group NPD
• Emily Cutshall, PA-C

  • Physician Assistant
  • Sewell, NJ
  • NPI 1558026153
  Medicare reassignment Care Compare group
• Stephanie Phillips, PA-C

  • Medical Physician Assistant
  • Marlton, NJ
  • NPI 1710370135
  Medicare reassignment Care Compare group
• Alicemarie Poyss, APN,C

  • Acute Care Nurse Practitioner
  • Marlton, NJ
  • NPI 1568580595
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1578640538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 EAST",
            "address_2": "SUITE G-101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532345",
            "telephone_number": "856-983-9939",
            "fax_number": "856-983-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 EAST",
            "address_2": "SUITE G-101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532345",
            "telephone_number": "856-983-9939",
            "fax_number": "856-983-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HETAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "856-983-9939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045021",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Elkattawy, MD
• Michael Wayne Ellin, D.C.
• George David Ellis, M.D.
• Sarah Goldberg Ellis, LCSW
• Elmwood Evesham Associates, LLC (Care One at Evesham)
• Mohamed Elsayed
• Kellyann Patricia Else, DOTR/L
• Emerald Parallax LLC
• Emmanuel Counseling Center
• Empower Aac

• Family Medicine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.