Individual provider Active NPI

Amir Elsamadisi, MD

  • Psychiatry Physician
  • Wall Township, NJ
National Provider Identifier
1902488497
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA12123300 Issued in NJ
Practice address
1516 NJ-138 Suite 2a
Wall Township, NJ 07719
Phone
(848) 202-8644
NPI assigned
Apr 23, 2021
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA12123300 NJ Primary

Addresses

Primary practice location

1516 NJ-138 Suite 2a
Wall Township, NJ 07719

Mailing address

1516 NJ-138 Suite 2a
Wall Township, NJ 07719
Phone (848) 202-8644

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
I20260509000034 NJ Practitioner - Psychiatry 9537637368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hackensack Meridian School of Med at Seton Hall, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson Place
New Brunswick, NJ 08901-1928
Phone (800) 300-0628

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12123300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Healing Center LLC Psychiatry CurrentSince Jul 22, 2025 Accepting new patients
Elsamadisi Psychiatry LLC Psychiatry Current Accepting new patients

Locations

2137 State Route 35
Ste 210
Holmdel, NJ 07733
Phone (732) 962-4222

Organizations & group practices 3

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 4

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1902488497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 NJ-138 SUITE 2A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "848-202-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 NJ-138 SUITE 2A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "848-202-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAMADISI",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12123300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.