Individual provider Active NPI

Siraj M El Jamal, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1932310547
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA09081500 Issued in NJ
Practice address
1 Gustave L Levy PL FL 15
New York, NY 10029-6504
Phone
(212) 241-0440
NPI assigned
May 24, 2007
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 289261 NY
Hematology (Pathology) Physician 207ZH0000X 25MA09081500 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA09081500 NJ Primary

Addresses

Primary practice location

1 Gustave L Levy PL FL 15
New York, NY 10029-6504

Mailing address

2500 N State St
Uni. of Mississppi Medical Center. Dep. of Pathology
Jackson, MS 39216-4500
Phone (601) 984-1530

Other identifiers 2

IdentifierTypeStateIssuer
05553563MedicaidMS
04873305MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171102000633 NY Practitioner - Pathology 8628382694 Reassigns benefits to 2 organizations
I20230628001541 NJ Practitioner - Pathology 8628382694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
Rutgers Health RWJ Pathology
New Brunswick, NJ 08901-1928
Phone (732) 937-8651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09081500NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2023 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology CurrentSince Sep 5, 2017 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jun 1, 2023 Accepting new patients
Fpa Hospital Based CurrentSince Sep 5, 2017 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

Organizations & group practices 8

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 3

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1932310547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "UNI. OF MISSISSPPI MEDICAL CENTER. DEP. OF PATHOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1530",
            "fax_number": "601-984-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL JAMAL",
        "first_name": "SIRAJ",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "289261",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA09081500",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA09081500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05553563",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04873305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.