NPIMap

Individual provider Active NPI

Elkhatim Mohammed Elaies, MD

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1891269676
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11491900 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
Fax
(201) 343-6364
NPI assigned
Jan 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11491900 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220729000202 NJ Practitioner - Internal Medicine 4688056211 Reassigns benefits to 3 organizations
I20240809001870 NY Practitioner - Internal Medicine 4688056211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Solutions P.C.Group PAC ID 4880904382, 18 clinicians
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

275 W Merrick Rd
Freeport, NY 11520-3346
Phone (718) 639-9100

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6050

Hospital & facility affiliations

  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Dumont Center for Rehabilitation and Nursing Care Nursing home, New Rochelle, NY, CCN 335271

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Solutions P.C. Internal Medicine CurrentSince Jun 30, 2024 Accepting new patients
Excelcare Medical Associates, PA Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Dumont Operating, LLC Past Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Ihpnj ER LLC Past Accepting new patients

Locations

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

3 University Plz
Ste 205
Hackensack, NJ 07601

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

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

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

520 Beach 19th St
Far Rockaway, NY 11691
Phone (516) 889-8844

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1891269676",
    "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",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-343-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAIES",
        "first_name": "ELKHATIM",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11491900",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.