Individual provider Active NPI

Moheb S Abdelmalek, MD

  • Emergency Medicine Physician
  • Perth Amboy, NJ
National Provider Identifier
1699776179
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06009600 Issued in NJ
Practice address
530 New Brunswick Ave
Perth Amboy, NJ 08861-3674
Phone
(732) 442-3700
NPI assigned
Aug 9, 2005
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD452841 PA
Emergency Medicine Physician 207P00000X 25MA06009600 NJ Primary

Addresses

Primary practice location

530 New Brunswick Ave
Perth Amboy, NJ 08861-3674

Mailing address

11 George Allen CT
Monroe TWP, NJ 08831-3675
Phone (908) 227-0483

Other identifiers 1

IdentifierTypeStateIssuer
6323901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040430000789 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 3375530249 Reassigns benefits to 2 organizations
I20080815000082 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 3375530249 Reassigns benefits to 1 organization
I20191105001072 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 3375530249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of North Jersey P CGroup PAC ID 7911992326, 125 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 442-3700

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (484) 526-4558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Aug 1, 2008 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Apr 1, 2010 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Dec 22, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Dec 22, 2021 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Good Shepherad Medical Group,LLC PastSince Jan 1, 2002 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: moheb.abdelmalek@slpg.direct-sluhn.org

Organizations & group practices 10

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 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1699776179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GEORGE ALLEN CT",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088313675",
            "telephone_number": "908-227-0483",
            "fax_number": "732-656-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613674",
            "telephone_number": "732-442-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMALEK",
        "first_name": "MOHEB",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD452841",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06009600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6323901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.