Organization Active NPI

Mohamed H. Elnahal, P.a.

  • Cardiovascular Disease Physician
  • Galloway, NJ
National Provider Identifier
1609952480
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05177500 Issued in NJ
Legal business name
MOHAMED H. ELNAHAL, P.A.
Practice address
333 E Jimmie Leeds Rd
East Building Suite 5
Galloway, NJ 08205-4123
Phone
(609) 652-5556
Fax
(609) 652-3330
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mohamed H. Elnahal, MD
Title
President
Phone
(609) 652-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05177500 NJ Primary

Addresses

Primary practice location

333 E Jimmie Leeds Rd
East Building Suite 5
Galloway, NJ 08205-4123

Mailing address

333 E Jimmie Leeds Rd
East Building Suite 5
Galloway, NJ 08205-4123
Phone (609) 652-5556

Other identifiers 7

IdentifierTypeStateIssuer
5101409MedicaidNJ
2315845000OtherAMERIHEALTH HMO/POS/PC/PP
F14343OtherHEALTHNET
OXFORDOtherP400760
2OU29OtherEMPIRE BLUE CROSS
475541OtherAETNA PPO/POS/HMO
3617274005OtherCIGNA HMO/POS

National Provider Directory

National Provider Directory

Locations

333 E Jimmie Leeds Rd
Ste 5
Galloway, NJ 08205
Phone (609) 252-5556

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609952480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E JIMMIE LEEDS RD",
            "address_2": "EAST BUILDING SUITE 5",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054123",
            "telephone_number": "609-652-5556",
            "fax_number": "609-652-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E JIMMIE LEEDS RD",
            "address_2": "EAST BUILDING SUITE 5",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054123",
            "telephone_number": "609-652-5556",
            "fax_number": "609-652-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED H. ELNAHAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ELNAHAL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-652-5556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05177500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5101409",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO/POS/PC/PP",
            "identifier": "2315845000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F14343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P400760",
            "identifier": "OXFORD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "2OU29",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS/HMO",
            "identifier": "475541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/POS",
            "identifier": "3617274005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.