Organization Active NPI

Meleis Medical Group LLC

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1689722282
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MELEIS MEDICAL GROUP LLC
Practice address
233 Middle Rd
Ste 2
Hazlet, NJ 07730-1958
Phone
(732) 335-0900
Fax
(732) 335-8080
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Dr. Mohamed Meleis, M.D.NPI 1396742342
Title
LLC Member
Phone
(732) 335-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

233 Middle Rd
Ste 2
Hazlet, NJ 07730-1958

Mailing address

233 Middle Rd
Ste 2
Hazlet, NJ 07730-1958
Phone (732) 335-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000932 NJ Part B Supplier - Clinic/Group Practice 5092766337 Receives reassigned benefits from 1 practitioner
Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1689722282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "STE 2",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301958",
            "telephone_number": "732-335-0900",
            "fax_number": "732-335-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "STE 2",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301958",
            "telephone_number": "732-335-0900",
            "fax_number": "732-335-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELEIS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "MELEIS",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "732-335-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.