Fouad K. Michail, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24404 Issued in NJ

Practice address

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

Phone

(856) 935-4315

Fax

(856) 935-0040

NPI assigned

Oct 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1619165891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SALEM-WOODSTOWN RD - ROUTE 45",
            "address_2": "SUITE 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": "330 SALEM WOODSTOWN RD RT 45",
            "address_2": "SUITE 5",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-935-4315",
            "fax_number": "856-935-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAIL",
        "first_name": "FOUAD",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "24404",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02440400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryville, Inc.
• Kyle Jordan McDermott
• Rebecca McLane, M.D.
• Meals on Wheels of Salem County, Inc.
• Michelle Y. Menden, CRNA
• Mason William Moore
• Terriann Cherise Murphy
• Tara Nardi
• New Jersey/Pennsylvania Em-I Medical Services, PC
• Bonnie G. Nuss, PT

• Ophthalmology Physician in Salem, NJ
• Providers in Salem, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.