Individual provider Active NPI

Wael Ali Elsamman, MD

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1831419126
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08781800 Issued in NJ
Practice address
9 Mule Rd
Ocean County Family Care
Toms River, NJ 08755-5043
Phone
(732) 818-0004
Fax
(732) 818-7775
NPI assigned
Jun 9, 2010
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08781800 NJ Primary

Addresses

Primary practice location

9 Mule Rd
Ocean County Family Care
Toms River, NJ 08755-5043

Mailing address

2125 Route 88 E
Ocean County Family Care
Brick, NJ 08724-3273
Phone (732) 942-4455

Other identifiers 1

IdentifierTypeStateIssuer
0245712MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000904 NJ Practitioner - General Practice 4183811409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

9 Mule Rd
Ste 11
Toms River, NJ 08755
Phone (732) 797-1535

Interoperability endpoints

  • Direct secure messaging: wael.elsamman@direct.hackensackmeridian.org

Organizations & group practices 1

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1831419126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "address_2": "OCEAN COUNTY FAMILY CARE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-942-4455",
            "fax_number": "732-942-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "OCEAN COUNTY FAMILY CARE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-818-0004",
            "fax_number": "732-818-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAMMAN",
        "first_name": "WAEL",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08781800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245712",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.