Fayez Mikhail, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAYEZ MIKHAIL, LLC

Practice address

23 Mayfair Rd
Southampton, NJ 08088-1014

Phone

(609) 587-1001

Fax

(302) 239-2105

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Fayez Mikhail, MD

Title

Provider

Phone

(609) 587-1001

Specialties & licenses 1

Addresses

Other identifiers 9

Practitioners 1

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

• Randa Mina, MD

  • Internal Medicine Physician
  • Belle Mead, NJ
  • NPI 1174585855
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1699710558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAYFAIR RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080881014",
            "telephone_number": "609-587-1001",
            "fax_number": "302-239-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAYFAIR RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080881014",
            "telephone_number": "609-587-1001",
            "fax_number": "302-239-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYEZ MIKHAIL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "609-587-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K0104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110027952",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P421119",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0212428000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "1024394",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "83916",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "9100008422",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0533633",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Deklerk, OTR/L
• Peter Destefano, THERAPIST
• Nelly Dixon, ED.D., BCBA
• Catherine A Ensana, M.A.
• Maria Eleni Evgeniadis, OTR/L
• Casey Ray Gillick, DPT
• Cheryl A Gow, APN
• Hampton Lakes Emergency Squad, Inc
• Trisha Hartman, RPH
• Raymond Heaton

• Internal Medicine Physician in Southampton, NJ
• Providers in Southampton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.