Organization Active NPI

Fouad K Michail MD PA

  • Ophthalmology Physician
  • Salem, NJ
National Provider Identifier
1609801679
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24404 Issued in NJ
Legal business name
FOUAD K MICHAIL MD PA
Practice address
RT 45 330 Salem Woodstown Rd S 5
Salem, NJ 08079
Phone
(856) 935-4315
Fax
(856) 935-0040
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Fouad K Michail, MD
Title
President
Phone
(856) 935-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 24404 NJ Primary

Addresses

Primary practice location

RT 45 330 Salem Woodstown Rd S 5
Salem, NJ 08079

Mailing address

RT 45 330 Salem Woodstown Rd S 5
Salem, NJ 08079
Phone (856) 935-4315

National Provider Directory

National Provider Directory

Locations

330 Salem Woodstown Rd
Ste 5
Salem, NJ 08079
Phone (856) 935-4315

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1609801679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 45 330 SALEM WOODSTOWN RD S 5",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-935-4315",
            "fax_number": "856-935-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 45 330 SALEM WOODSTOWN RD S 5",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-935-4315",
            "fax_number": "856-935-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUAD K MICHAIL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MICHAIL",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-935-4315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "24404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.