Individual provider Active NPI

Abdelrahman Elemam

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1861020455
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB12211200 Issued in NJ
Practice address
155 Polifly Rd Ste 301
Hackensack, NJ 07601-1749
Phone
(201) 343-6360
NPI assigned
Mar 30, 2020
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 25MB12211200 NJ Primary

Addresses

Primary practice location

155 Polifly Rd Ste 301
Hackensack, NJ 07601-1749

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

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
I20250219001132 NJ Practitioner - Internal Medicine 2567982721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

155 Polifly Rd
Hackensack, NJ 07601-1758
Phone (201) 343-6364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12211200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients

Locations

341 Broad St
Ste A
Clifton, NJ 07013

155 Polifly Rd
Hackensack, NJ 07601
Phone (201) 343-6360

155 Polifly Rd
Fl 3
Hackensack, NJ 07601

155 Polifly Rd
Ste 301
Hackensack, NJ 07601
Phone (201) 343-6360

3 University Plz
Ste 205
Hackensack, NJ 07601

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

222 Cedar Ln
Ste 201
Teaneck, NJ 07666
Phone (201) 530-1900

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Interoperability endpoints

  • Direct secure messaging: aelemam@smg-nj.direct.office.nextgen.com

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.

Hospital & facility affiliations 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1861020455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011749",
            "telephone_number": "201-343-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEMAM",
        "first_name": "ABDELRAHMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB12211200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.