NPIMap

Individual provider Active NPI

Ali Elsayed Mohammed Elsayed, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Montclair, NJ
National Provider Identifier
1871702977
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA08914100 Issued in NJ
Practice address
I Bay Avenue
Montclair, NJ 07042
Phone
(267) 262-3758
NPI assigned
May 22, 2007
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA08914100 NJ Primary
Internal Medicine Physician 207R00000X 4301088456 MI

Addresses

Primary practice location

I Bay Avenue
Montclair, NJ 07042

Mailing address

57 E Centre St
1204
Nutley, NJ 07110-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000255 NJ Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7113196585 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Route Intensivists Services LLCGroup PAC ID 6305189671, 10 clinicians
Ccmma NJ LLCGroup PAC ID 8123392495, 31 clinicians
Secaucus Physician AssociatesGroup PAC ID 2668773094, 5 clinicians
Riverfront IntensivistsGroup PAC ID 3476839507, 5 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (954) 939-5000

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 636-7200

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 392-3100

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088456MIMDInternal Medicine Physician
25MA08914100NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ccmma NJ LLC Critical Care Medicine CurrentSince May 1, 2021 Accepting new patients
St Josephs Medical Group PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Route Intensivists Services LLC Critical Care Medicine CurrentSince May 12, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Riverfront Intensivists Critical Care Medicine CurrentSince Apr 2, 2017 Accepting new patients
Secaucus Physician Associates Critical Care Medicine CurrentSince Aug 15, 2020 Accepting new patients
The Clifton Center for Oral Surgery and Jaw Reconstruction LLC Past Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Past Accepting new patients
Mid Columbia Eyecare Center, Inc, PS Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

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

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

Organizations & group practices 11

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 9

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1871702977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E CENTRE ST",
            "address_2": "1204",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071105410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I BAY AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "267-262-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "ALI",
        "middle_name": "ELSAYED MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA08914100",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.