Active NPI
Siraj M El Jamal, MD
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA09081500
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05553563 | Medicaid | MS | |
| 04873305 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09081500 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Fpa Hospital Based | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Fpa Hospital Based | Current | 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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba Mount Sinai Hospital Based Providers
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1104162700
-
dba Mount Sinai Pathology Hospitalists
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1326389826
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Mount Sinai Pathology Outreach
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1962743575
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Anatomic Pathology & Clinical Pathology Physician
- New Brunswick, NJ
- NPI 1538173539
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.