Individual provider Active NPI

Amal A Al-Shrouf, MD

  • Pulmonary Disease Physician
  • Paterson, NJ
National Provider Identifier
1649249509
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA075034 Issued in NJ
Practice address
355 21St Ave
Paterson, NJ 07501-3642
Phone
(973) 523-9090
Fax
(973) 523-5222
NPI assigned
Mar 14, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA075034 NJ Primary

Addresses

Primary practice location

355 21St Ave
Paterson, NJ 07501-3642

Mailing address

355 21St Ave
Paterson, NJ 07501-3642
Phone (973) 523-9090

Other identifiers 1

IdentifierTypeStateIssuer
0009393MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001393 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8325941370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Fair Lawn, NJ 07410-3016

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

37 Crooks Ave
Suite 43
Paterson, NJ 07503-1401
Phone (973) 523-9090

661 Main St
Suite 202
Paterson, NJ 07503-3028
Phone (973) 321-9845

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA075034NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2016 Accepting new patients
Comprehensive Sleep Management, LLC Past Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Interoperability endpoints

  • Direct secure messaging: aalshrouf236828@direct.englewoodhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1649249509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013642",
            "telephone_number": "973-523-9090",
            "fax_number": "973-523-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013642",
            "telephone_number": "973-523-9090",
            "fax_number": "973-523-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SHROUF",
        "first_name": "AMAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA075034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009393",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.