Medcare Wa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDCARE WA

Practice address

139 Grant Ave
Eatontown, NJ 07724-1306

Phone

(732) 299-3900

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Walid AbboudNPI 1245295559

Title

Doctor

Phone

(732) 299-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walid A Abboud, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1245295559

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1609535665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SEQUOIA WOODS CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332545",
            "telephone_number": "732-299-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GRANT AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241306",
            "telephone_number": "732-299-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-299-3900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine McCarron, PT,OT
• Emmi McCauley, LAC
• Michael A McNeill
• Kristen Lee McQueen
• Mdo Optical, Inc
• Marc Mehlman, D.M.D.
• Malka Meltzer, COTA/L
• Kimberly Ann Menck, LAC
• Ashley Menichini
• Jordan Meredith

• Internal Medicine Physician in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.