Medhat Ismail Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA61414 Issued in NJ

Legal business name

MEDHAT ISMAIL INC

Practice address

246 Hamburg Tpke
Suite 208
Wayne, NJ 07470-2156

Phone

(973) 790-3433

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Medhat Ismail, MDNPI 1982665600

Title

Owner

Phone

(973) 790-3433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Medhat Ismail, MD

  • Pulmonary Disease Physician
  • Wayne, NJ
  • NPI 1982665600
  Medicare reassignment NPD Authorized official
• Barbara Millo

  • Primary Care Nurse Practitioner
  • New Milford, NJ
  • NPI 1326573817
  Medicare reassignment NPD
• Ramazan Bahar, APN

  • Adult Health Nurse Practitioner
  • Paterson, NJ
  • NPI 1407293764
  NPD
• Nagwa Ismail Hafez, MD

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1487853875
  NPD
• Georgiette Ameyaw-Wordie, FNP

  • Family Nurse Practitioner
  • Wayne, NJ
  • NPI 1245680800
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1831145762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ALMADERA DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702471",
            "telephone_number": "973-790-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-790-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHAT ISMAIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-790-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA61414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6738109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly P McCloud
• Terri L McDonald, PHLEBOTOMIST
• Siobain McGonigal, MS CCC-SLP
• Vincent K. McInerney, M.D.
• MD Assist LLC
• Medical & Molecular Imaging Wayne Inc
• Medical Park Imaging, PA
• Medical Specialists of Northern Newjersey LLC
• Agripina Medina Viserep
• Samantha Medina-Sullivan

• Pulmonary Disease Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.