Individual provider Active NPI

Areeg Elayan Elabed

  • Physician Assistant
  • Hamilton, NJ
National Provider Identifier
1750054474
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061374 Issued in PA
Practice address
1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone
(609) 581-9100
Fax
(609) 581-7588
NPI assigned
Jul 28, 2021
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061374 PA Primary

Addresses

Primary practice location

1078 White Horse Ave
Hamilton, NJ 08610-1425

Mailing address

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230318000023 NJ Practitioner - Physician Assistant 0840664678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061374PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC PastSince Nov 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1750054474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100",
            "fax_number": "609-581-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELABED",
        "first_name": "AREEG",
        "middle_name": "ELAYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1508 Shrewsbury Dr",
            "city": "Bensalem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190204200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.